SHILO MARIE MCKENZIE CNMNP
NPI 1912235516
Midwife in Gold Beach, OR

Active since November 20, 2009PECOS Enrolled
29135 ELLENSBURG AVE, GOLD BEACH, OR 97444(541) 425-5311(541) 425-5577 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shilo Marie Mckenzie Cnmnp NPPES

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

SHILO MARIE MCKENZIE CNMNP (NPI 1912235516) is an individual midwife in Gold Beach, Oregon, licensed in Oregon (200950160NP NMNP-PP) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912235516
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameSHILO MARIE MCKENZIECredential: CNMNP
Location Address29135 ELLENSBURG AVEGold Beach, OR 97444-8722
Mailing AddressPo Box 1710Gold Beach, OR 97444-1710 · (541) 425-5311 · Fax (541) 425-5577
Fax(541) 425-5577
Sole ProprietorNo
Enumeration DateNovember 20, 2009
Last NPPES UpdateApril 3, 2015
✔ NPI 1912235516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in OR · 200950160NP NMNP-PP
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 200950160NP NMNP-PP (OR)
29135 ELLENSBURG AVE, Gold Beach, OR 97444

Other Identifiers 6

OtherR179539OR · Bright Eyes Midwifery & Wild Rivers Women's Health, Llc Ptan
Other46-4734811OR · Bright Eyes Midwifery & Wild Rivers Women's Health Llc Tin
Other1386069326OR · Bright Eyes Midwifery & Wild Rivers Women's Health Llc Npi
Other1487696985Curry General Hospital Npi
Medicaid500614877OR
Medicare PINR151341

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shilo Marie Mckenzie Cnmnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shilo Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
312 TICHENOR ST
Port Orford, OR 97465
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Bandon Community Health Center
  • 21 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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
29135 ELLENSBURG AVE
GOLD BEACH, OR 97444
Advanced Practice Midwife
29135 ELLENSBURG AVE
GOLD BEACH, OR 97444

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 Shilo Mckenzie's NPI number?

The NPI number for Shilo Mckenzie is 1912235516. It was assigned to this individual provider in the NPPES registry on November 20, 2009.

Where is Shilo Mckenzie located?

Shilo Mckenzie practices at 29135 Ellensburg Ave, Gold Beach, OR 97444. The listed phone number is (541) 425-5311.

What is Shilo Mckenzie's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Shilo Mckenzie enrolled in Medicare?

Yes. Shilo Mckenzie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shilo Mckenzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilo Mckenzie reassigns Medicare benefits to Bandon Community Health Ctr (Port Orford, OR). The 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 Shilo Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilo Mckenzie accept?

Health plans from Moda Health Plan, Inc. list Shilo Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shilo Mckenzie was last updated on April 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.