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

Nicole Smith, FNP

Individual provider Nurse Practitioner · NPI 1568822864

Nicole Smith, FNP is a Nurse Practitioner in Bend, Oregon. Qualified in 2015, 11 years ago. Practices with Bend Memorial Clinic PC, a 226-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Oregon.

Years since qualifying
11
Licensed in
NC, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 388-4333
Fax: (541) 388-3446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Ne Medical Center Dr, Bend, OR 97701-6051 — (541) 382-4900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 201905762NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5008394 (NC)

Record details

NPI number1568822864
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 29, 2016
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing addressPo Box 6048, Bend, OR 97708-6048

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bend Memorial Clinic Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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