IndividualActive
Melanie Black, AGNP-C
NPI 1750999470 · Primary Care Nurse Practitioner · Bend, OR
Provider details
- NPI number
- 1750999470
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 101.0134595 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2165 Nw Shevlin Park Rd
Bend, OR 97703-7101
Phone: (541) 389-7741
Street-level locationGet directions
Mailing address
Po Box 1517
Pendleton, OR 97801-0410
Additional practice locations (1)
- 163 Veterans DrWhite River Junction, VT 05009-0001Phone: (802) 295-9363
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.