Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beth Louise Wiese, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1225730229

Beth Louise Wiese, AGACNP-BC is a Nurse Practitioner in Bend, Oregon. Qualified in 2022, 4 years ago. Practices with St Charles Health System Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
Specialties on file
4

Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 382-4321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10005848 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 201041547RN (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 10005848 (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 10005848 (OR)

Record details

NPI number1225730229
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Charles Health System Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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