Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568019644 Individual Practitioner Female Practitioner

Marcella R Canelo , REGISTERED DIETITIAN

Dietitian, Registered • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marcella Canelo, REGISTERED DIETITIAN is a certified Dietitian, Registered practicing in Bend, OR. With approximately 8 years of clinical experience since completing medical education in 2018, Marcella Canelo delivers high-quality medical care to the local community at 2065 NE TUCSON WAY APT 110.

Marcella Canelo is affiliated with Mosaic Community Health and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2065 Ne Tucson Way Apt 110

Bend, OR 977015182

Telephone 5413833005
Fax 5413831883
Associated Practice Facility / Clinic
🏢 Mosaic Medical Facility NPI 1710328992

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bend, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -7.2 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Bend, OR (941 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Canelo (8 Years) 8 Yrs
Bend Specialty Average (15.2 Years) 15.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LD-D-10200369

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500768695 (OR)

Hospital & Practice Group Affiliations

Mosaic Community Health

375 Nw Beaver St, Prineville, OR 977541802

Phone: 5413166026

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Wendy Dryden , MD

Family Medicine

NPI 1003252354

Doctor of Medicine (M.D.)

Christopher Russell , PA-C

Physician Assistant

NPI 1003864927

Physician Assistant (Certified)

Sierra Hopper , MSN

Counselor - Mental Health

NPI 1013756725

Master of Science in Nursing

Paisley Pijuan , LCSW

Social Worker - Clinical

NPI 1043837578

Licensed Clinical Social Worker

Siena Falzon , QMHA

Counselor - Mental Health

NPI 1043948524
Dr. Haley Maurer , DDS

Dentist - General Practice

NPI 1053186494

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address October 24, 2024

Registered at PO BOX 4228, PORTLAND, OR 972084228 (Tel: 5413833005)

📍
Updated Practice Location February 07, 2023

Registered at 2065 NE TUCSON WAY APT 110, BEND, OR 977015182 (Tel: 5413833005)

📍
Updated Business Mailing Address February 07, 2023

Registered at 600 SW COLUMBIA ST STE 6250, BEND, OR 977021099 (Tel: 5413833005)

📍
Updated Practice Location June 03, 2020

Registered at 1010 SW COAST HWY, NEWPORT, OR 973655288 (Tel: 5412650445)

NPI Profile Active August 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2019

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412654179)

📍
Updated Business Mailing Address August 26, 2019

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412654179)

👤
Provider Name / Credentials Updated August 26, 2019

Recorded as MARCELLA CANELO, REGISTERED DIETITIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Dietitian, Registered (License #LD-D-10200369 in OR)

🟢
Initial NPI Registration & Enumeration August 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568019644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: October 24, 2024
Sole Proprietor: No

Mailing Address

Po Box 4228

Portland, OR 972084228

Phone: 5413833005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.