MEDICARE: MARYELLEN PARKER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	201501459NP-PP	OR
2	363LF0000X	Family Nurse Practitioner	22382	CA

General Provider Information

NPI Number	:	1861742025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYELLEN PARKER FNP

Provider Business Mailing Address
First Line	:	1375 NW KINGSTON AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2242
Country	:	US
Telephone Number	:	541-383-5958
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 NW SHEVLIN PARK RD STE 110
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7134
Country	:	US
Telephone Number	:	541-728-2525
Fax Number	:	503-917-4971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	02/05/2026

Similar Medicare Providers

1215607890 — DR. SUZANNE KRISTEN PURYEAR DNP-FNP
Practice Location Address:

2255 NW SHEVLIN PARK RD STE 110
BEND, OR
97703-7134

Practice Phone: 541-728-2525
Practice Fax: 503-917-4971

1225619703 — NORTHWEST IV, LLC
Practice Location Address:

2255 NW SHEVLIN PARK RD STE 110
BEND, OR
97703-7134

Practice Phone: 541-728-2525
Practice Fax: 971-223-0919

1376682658 — BRITTNEY OSBORNE PMHNP-BC
Practice Location Address:

2255 NW SHEVLIN PARK RD STE 110
BEND, OR
97703-7134

Practice Phone: 541-728-2525
Practice Fax:

1316723711 — DEEP INSIGHT PLLC
Practice Location Address:

2255 NW SHEVLIN PARK RD STE 120
BEND, OR
97703-7134

Practice Phone: 888-830-6088
Practice Fax: 888-850-5616

1285414425 — DEEP INSIGHT PLLC
Practice Location Address:

2255 NW SHEVLIN PARK RD STE 120
BEND, OR
97703-7134

Practice Phone: 541-241-2509
Practice Fax: 888-850-5616

1881414142 — ABC THERAPY CONNECTIONS LLC
Practice Location Address:

29856 RIVER BEND RD
POTEAU, OK
74953-7134

Practice Phone: 918-658-4441
Practice Fax:

Directions to “ MARYELLEN PARKER FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.