Waterfall Clinic, Incorporated
NPI 1619673704ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Coos Bay, OR
Nurse Practitioner, Psych/Mental Health in Coos Bay, Oregon, registered in NPPES in February 2023, part of Waterfall Clinic, Incorporated. The authorized official on file is Teresea Colleen Bratcher, Finance Manager. Enrolled in Medicare as part a provider - federally qualified health center (fqhc).
Overview
| NPI | 1619673704 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Waterfall Clinic, Incorporated |
| NPI issued | Feb 1, 2023 |
| Last updated in NPPES | Feb 1, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (OR) |
|---|
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