Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972938942 Individual Practitioner Female Practitioner

Kerry Adele Gillette , PA-C

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kerry Gillette, PA-C is a certified Physician Assistant practicing in Bend, OR. With approximately 13 years of clinical experience since graduating from University Of Utah School Of Medicine in 2013, Kerry Gillette delivers high-quality medical care to the local community at 1501 NE MEDICAL CENTER DR.

Kerry Gillette maintains professional affiliations with Bend Memorial Clinic Pc, Mosaic Community Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Telephone 5413824900
Associated Practice Facility / Clinic
🏢 Bend Memorial Clinic Llp Facility NPI 1174581060

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +0.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate
29.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillette (13 Years) 13 Yrs
Bend Specialty Average (12.5 Years) 12.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA181316

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500722872 (OR)

Hospital & Practice Group Affiliations

Mosaic Community Health

2084 Ne Professional Ct, Bend, OR 977016077

Phone: 5413833005

Mosaic Community Health

375 Nw Beaver St, Prineville, OR 977541802

Phone: 5413166026

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Phone: 5413822811

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennifer Herr , FNP

Nurse Practitioner - Family

NPI 1003350505

Family Nurse Practitioner

Calli Rogowitz , PA

Physician Assistant

NPI 1003471590

Physician Assistant

NPI 1013990027

Doctor of Medicine (M.D.)

Deona Kasten-Stubbs , FNP

Nurse Practitioner - Family

NPI 1023202314

Family Nurse Practitioner

Gregory Lang , PA-C

Physician Assistant

NPI 1023369527

Physician Assistant (Certified)

Dr. Jeremiah Lanford , MD

Psychiatry & Neurology - Neurology

NPI 1033230800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 24, 2026

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

📍
Updated Business Mailing Address January 24, 2026

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

NPI Profile Active May 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2017

Registered at 2084 NE PROFESSIONAL CT, BEND, OR 977016077 (Tel: 5413833005)

📍
Updated Business Mailing Address May 26, 2017

Registered at 600 SW COLUMBIA ST STE 6210, BEND, OR 977021099 (Tel: (541) 383-3005)

👤
Provider Name / Credentials Updated May 26, 2017

Recorded as KERRY GILLETTE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2017

Physician Assistant (License #PA181316 in OR)

NPI Profile Active October 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2014

Registered at 1220 12TH ST SE, SUITE 120, WASHINGTON, DC 200033722 (Tel: 2027157900)

📍
Updated Business Mailing Address October 22, 2014

Registered at 1220 12TH ST SE, SUITE 120, WASHINGTON, DC 200033722 (Tel: 2027157900)

👤
Provider Name / Credentials Updated October 22, 2014

Recorded as KERRY GILLETTE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2014

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 10, 2013

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: 1972938942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2013
Last Update: January 24, 2026
Sole Proprietor: No

Mailing Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413824900

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.