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

Diana Marie Everly

Individual provider Family Nurse Practitioner · NPI 1396347035

Diana Marie Everly is a Nurse Practitioner in Bend, Oregon. Qualified in 2020, 6 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
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Practice location Address checks out

404 NE Penn Ave
Bend, OR 97701-4264
Phone: (877) 522-1275
Fax: (833) 888-7145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202010016NP-PP (OR)

Record details

NPI number1396347035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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