WINDING WATERS MEDICAL CLINIC
NPI 1922475219
Clinic/Center - Federally Qualified Health Center (FQHC) in Enterprise, OR
About Winding Waters Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINDING WATERS MEDICAL CLINIC (NPI 1922475219) is a healthcare organization registered as a federally qualified health center (fqhc) in Enterprise, Oregon and active in the NPI registry since August 2015. The organization lists Keli Jean Dennis, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Winding Waters Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Winding Waters Medical Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Winding Waters Medical Clinic's NPI number?
The NPI number for Winding Waters Medical Clinic is 1922475219. It was assigned to this organization in the NPPES registry on August 21, 2015.
Where is Winding Waters Medical Clinic located?
Winding Waters Medical Clinic is located at 603 Medical Pkwy, Enterprise, OR 97828. The listed phone number is (541) 426-4502.
What is Winding Waters Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Winding Waters Medical Clinic enrolled in Medicare?
Yes. Winding Waters Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Winding Waters Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Winding Waters Medical Clinic. 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. The largest specialties are Family Practice (6), Clinical Social Worker (4) and Mental Health Counselor (2). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Winding Waters Medical Clinic accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Winding Waters Medical Clinic 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 Winding Waters Medical Clinic was last updated on September 12, 2023. 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.
# Winding Waters Medical Clinic · NPI 1922475219
Federally Qualified Health Center (FQHC) organization in Enterprise, Oregon. Organization record, active in the CMS NPPES registry since August 21, 2015.
## Identity
- **NPI:** 1922475219 (Entity type: Organization)
- **Enumerated:** August 21, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Keli Dennis, COO
## Practice location
- **Address:** 603 MEDICAL PKWY, Enterprise, OR 97828-5124
- **Phone:** (541) 426-4502 · **Fax:** (541) 426-6403
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Clinical Social Worker (4), Mental Health Counselor (2); 5 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922475219) · Data from the CMS NPPES public registry.