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

Mary Ocanada, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1407739030

Mary Ocanada, FNP-BC is a Nurse Practitioner in North Bend, Oregon. Qualified in 2021, 5 years ago. Practices with Icco LLC, a 133-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1226 Virginia Ave
North Bend, OR 97459-2716
Phone: (541) 305-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1775 Thompson Rd, Coos Bay, OR 97420-2198 — (541) 269-8111
  • 1226 Virginia Ave, North Bend, OR 97459-2716 — (541) 305-4224

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10047066 (OR)

Record details

NPI number1407739030
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJuly 30, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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