DBA-PINE EAGLE CLINIC
NPI 1922102128
Clinic/Center - Rural Health in Halfway, OR
About Dba-pine Eagle Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DBA-PINE EAGLE CLINIC (NPI 1922102128) is a healthcare organization registered as a rural health in Halfway, Oregon and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Terra Jean Lewis, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dba-pine Eagle Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dba-Pine Eagle Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D0860602
Pine Eagle Clinic · Halfway, ORFrequently 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 Pine Eagle Health Planning Committee's NPI number?
The NPI number for Pine Eagle Health Planning Committee is 1922102128. It was assigned to this organization in the NPPES registry on September 11, 2006. The provider is doing business as Dba-Pine Eagle Clinic.
Where is Pine Eagle Health Planning Committee located?
Pine Eagle Health Planning Committee is located at 218 North Pine Street, Halfway, OR 97834. The listed phone number is (541) 742-5023.
What is Pine Eagle Health Planning Committee's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Pine Eagle Health Planning Committee enrolled in Medicare?
Yes. Pine Eagle Health Planning Committee is registered in the Medicare PECOS enrollment system.
When is Pine Eagle Health Planning Committee's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pine Eagle Health Planning Committee?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pine Eagle Health Planning Committee, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pine Eagle Health Planning Committee hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0860602) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pine Eagle Health Planning Committee accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Pine Eagle Health Planning Committee 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 Pine Eagle Health Planning Committee was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dba-Pine Eagle Clinic · NPI 1922102128
Rural Health organization in Halfway, Oregon. Organization record, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1922102128 (Entity type: Organization)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Pine Eagle Health Planning Committee
- **Organization subpart:** No
- **Authorized official:** Terra Lewis, ADMINISTRATOR
## Practice location
- **Address:** 218 NORTH PINE STREET, Halfway, OR 97834
- **Phone:** (541) 742-5023 · **Fax:** (541) 742-7210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2020
- **Other identifiers:** Other R139059 (OR); Other 009919000 (OR); Medicaid 025069 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922102128) · Data from the CMS NPPES public registry.