KELLY ANN VAN DENEND FNP
NPI 1740837863
Nurse Practitioner - Family in Eugene, OR

Active since August 22, 2019PECOS Enrolled

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2022, Aug 22, 2019 (2 updates tracked since 2019).

About Kelly Ann Van Denend Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN VAN DENEND FNP (NPI 1740837863) is an individual family provider in Eugene, Oregon, licensed in Oregon (201907199NP-PP) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740837863
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANN VAN DENENDCredential: FNP
Location Address3 RIVER AVEEugene, OR 97404-2506
Mailing Address3 River AveEugene, OR 97404-2506 · (503) 972-0235
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 22, 2019
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
NPI 1740837863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201907199NP-PP
3 RIVER AVE, Eugene, OR 97404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ann Van Denend Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214365287
PECOS Enrollment IDI20200325002508
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
3 RIVER AVE
EUGENE, OR 97404
Counselor (Mental Health)
3 RIVER AVE
EUGENE, OR 97404
Nurse Practitioner (Family)
3 RIVER AVE
EUGENE, OR 97404
Naturopath
3 RIVER AVE
EUGENE, OR 97404
Family Medicine
3 RIVER AVE
EUGENE, OR 97404
Family Medicine
3 RIVER AVE
EUGENE, OR 97404
Interpreter
3 RIVER AVE
EUGENE, OR 97404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Van Denend's NPI number?

The NPI number for Kelly Van Denend is 1740837863. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Kelly Van Denend located?

Kelly Van Denend practices at 3 River Ave, Eugene, OR 97404. The listed phone number is (503) 972-0235.

What is Kelly Van Denend's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Van Denend enrolled in Medicare?

Yes. Kelly Van Denend is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Van Denend was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.