KELLY ANN VAN DENEND FNP
NPI 1740837863
Nurse Practitioner - Family in Eugene, OR
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ann Van Denend Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Van Denend reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 11 clinicians in this Medicare group
Portland, OR 97202
- Reassigned Medicare billing, Oregon enrollment
- 215 clinicians in this Medicare group
Portland, OR 97209
- Reassigned Medicare billing, Oregon enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kelly Van Denend's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Van Denend reassigns Medicare benefits to 3 organizations: White Bird Clinic (Eugene, OR), Multnomah County (Portland, OR) and Clinicops, LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Van Denend's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kelly Ann Van Denend, FNP · NPI 1740837863
Family physician in Eugene, Oregon. Individual provider, active in the CMS NPPES registry since August 22, 2019.
## Identity
- **NPI:** 1740837863 (Entity type: Individual)
- **Enumerated:** August 22, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201907199NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 RIVER AVE, Eugene, OR 97404-2506
- **Phone:** (503) 972-0235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): White Bird Clinic (NPI 1598000960, Eugene, OR); Multnomah County (NPI 1720126816, Portland, OR); Clinicops, LLC (NPI 1275821266, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740837863) · Data from the CMS NPPES public registry.