- Practice location
- 2165 NW Shevlin Park RD, Bend, OR 97703-7101
- Phone
- 541-389-7741
- Fax
- —
- Last updated
- May 6, 2025
Melanie Anne Black is a Nurse Practitioner, Primary Care based in Bend, OR. Melanie Anne Black practices in Bend, OR and has the professional credentials of AGNP-C. The NPI Number for Melanie Anne Black is 1750999470 and holds a License No. 101.0134595 (VT). The current practice location address for Melanie Anne Black is 2165 NW Shevlin Park RD, Bend, OR 97703-7101 and can be reached out via phone at 541-389-7741.
Provider Profile Details
- NPI Number
- 1750999470
- Provider Name
- Melanie Anne Black
- Credential
- AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2165 NW Shevlin Park RD, Bend, OR 97703-7101
- Phone Number
- 541-389-7741
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 20, 2020
- Last Update Date
- May 6, 2025
- Certification Date
- May 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2165 NW Shevlin Park RD
Bend, OR 97703-7101 - City
- Bend
- State
- Oregon
- Zip
- 97703-7101
- Phone Number
- 541-389-7741
Provider Business Mailing Address Details
- Address
- Po Box 1517
Pendleton, OR 97801-0410 - City
- Pendleton
- State
- OR
- Zip
- 97801-0410
- Phone Number
- 877-708-1119
License Information
- License Number
- 101.0134595
- License State
- VT
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near Bend, OR
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- Kristi Castellano, FNP-CNurse Practitioner, Primary Care · NPI 1740038504
- Monelle L Burrus, NPNurse Practitioner, Primary Care · NPI 1033707708
- Mrs. Havilah N Brodhead, RN, MSN, FNP-BCNurse Practitioner, Primary Care · NPI 1841584844
Frequently Asked Questions
What is the NPI number of Melanie A Black, AGNP-C?
The NPI number of Melanie A Black, AGNP-C is 1750999470. It was assigned on July 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Melanie A Black, AGNP-C?
Melanie A Black, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in VT under license number 101.0134595.
Where does Melanie A Black, AGNP-C practice?
The practice location is 2165 NW Shevlin Park RD, Bend, OR 97703-7101. The office can be reached at 541-389-7741 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750999470 directly on the NPPES registry website.