Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639793995 Individual Practitioner Female Practitioner

Desiree M Dennull , FNP

Nurse Practitioner • Dexter, OR

Professional Overview & Biography Verified Profile Summary

Desiree Dennull, FNP is a registered healthcare professional specializing in Nurse Practitioner in Dexter, OR. Practice services are available at 38843 DEXTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

38843 Dexter Rd

Dexter, OR 974319600

Telephone 5419372134
Fax 5419371370
Associated Practice Facility / Clinic
🏢 The Lakeside Clinic Facility NPI 1710923651

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dexter, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Dexter, OR (615 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 10000466

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

180 Melton Rd

Creswell, OR 974269453

Phone: 5412227700

1515 Village Dr

Cottage Grove, OR 974249700

Phone: 5417675200

970 1st Ave

Sweet Home, OR 973861902

Phone: 5419055020

Practice Associates & Co-Workers

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

4 Associated Practitioners
Mary Fey , FNP

Nurse Practitioner - Family

NPI 1134157332

Family Nurse Practitioner

Jason Vang-Erickson , RN-BSN, PP-NP

Nurse Practitioner - Family

NPI 1144780255

RNBSN, PPNP

NPI 1477816908

Doctor of Medicine (M.D.)

Dr. Kristi Seidel , MD

Family Medicine

NPI 1780601617

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 22, 2022

Registered at 38843 DEXTER RD, DEXTER, OR 974319600 (Tel: 5419372134)

📍
Updated Business Mailing Address December 22, 2022

Registered at 1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 986838004 (Tel: 3607291253)

👤
Provider Name / Credentials Updated December 22, 2022

Recorded as DESIREE DENNULL, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2022

Nurse Practitioner (License #10000466 in OR)

NPI Profile Active June 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2020

Registered at 970 1ST AVE, SWEET HOME, OR 973861902 (Tel: 5419055020)

📍
Updated Business Mailing Address June 02, 2020

Registered at 970 1ST AVE, SWEET HOME, OR 973861902 (Tel: 5419055020)

👤
Provider Name / Credentials Updated June 02, 2020

Recorded as DESIREE DENNULL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 02, 2020

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: 1639793995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2020
Last Update: February 20, 2023
Sole Proprietor: No

Mailing Address

1115 Se 164th Ave Dept 358

Vancouver, WA 986838004

Phone: 3607291253

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.