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Active NPI 1982783460 Individual Practitioner Male Practitioner

Dwight Carpen , FNP

Nurse Practitioner - Pediatrics • Madras, OR

Professional Overview & Biography Verified Profile Summary

Dwight Carpen, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Madras, OR. Practice services are available at 390 SE 10TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

390 Se 10th St

Madras, OR 977411573

Telephone 5413833005
Fax 5413831883
Associated Practice Facility / Clinic
🏢 Mosaic Community Health Facility NPI 1023567815

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Madras, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Madras, OR (225 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
49 38 $262.04 $59.10

Medical Specialties & State Licenses

CMS Verified: 2024-10-24
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 201602863NP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500638726 (OR)

Secondary Practice Locations

1270 Kot-Num Road

Warm Springs, OR 97761

Phone: 5415531196

2084 Ne Professional Ct

Bend, OR 977016077

Phone: 5413833005

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

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

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2024

Nurse Practitioner (License #201602863NP in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Nurse Practitioner (License #AC000238 in MD)

📍
Updated Practice Location January 30, 2023

Registered at 390 SE 10TH ST, MADRAS, OR 977411573 (Tel: 5413833005)

📍
Updated Business Mailing Address January 30, 2023

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2023

Nurse Practitioner (License #201602863NP in OR)

NPI Profile Active August 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2011

Registered at 1270 KOT-NUM ROAD, WARM SPRINGS, OR 97761 (Tel: 5415531196)

📍
Updated Business Mailing Address August 10, 2011

Registered at PO BOX 1209, WARM SPRINGS, OR 977611209 (Tel: 5415531196)

👤
Provider Name / Credentials Updated August 10, 2011

Recorded as DWIGHT CARPEN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2011

Nurse Practitioner (License #AC000238 in MD)

🟢
Initial NPI Registration & Enumeration November 03, 2006

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: 1982783460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
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.