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

Carrie Ellen Valle, FNP-C

Individual provider Family Nurse Practitioner · NPI 1508589607

Carrie Ellen Valle, FNP-C is a Nurse Practitioner in Coos Bay, Oregon. Qualified in 2012, 14 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1495 Teakwood Ave
Coos Bay, OR 97420-2146
Phone: (208) 999-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 S Wall St, Coos Bay, OR 97420-3233 — (360) 531-2099

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10017963 (OR)

Record details

NPI number1508589607
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address1495 Teakwood Ave, Coos Bay, OR 97420-2146

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Coos Bay