WANDA CAROL NEWSOME (CNP) – Nurse Practitioner, NPI 1306129614

WANDA CAROL NEWSOME (CNP) is a healthcare provider. based in Lebanon, Oregon. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. 201908923NP-PP (OR). The NPI Number for WANDA CAROL NEWSOME (CNP) is 1306129614

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
WANDA CAROL NEWSOME (CNP)
NPI
1306129614
Phone
(541) 766-0200
Address
100 MULLINS DR STE A1
Enumeration Date
22 September 2011
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412712163
Graduation Year
2009 (17 years ago)
PAC ID
5890967871
Group Practice PAC ID
6800703562
Professional Enrollment ID
I20200210001992
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for WANDA CAROL NEWSOME (CNP)

  • 100 MULLINS DR STE A1

    LEBANON, OR 973552868

    Phone: (541) 766-0200

    Fax: (541) 766-6618

    Type: Location

  • 600 RANCH RD

    REEDSPORT, OR 974671720

    Phone: (541) 271-2171

    Fax: (541) 271-6380

    Type: Mailing

  • 620 RANCH RD

    REEDSPORT, OR 974671720

    Phone: (541) 271-2163

    Fax: (541) 271-4058

    Type: Location

  • PO BOX 579

    CORVALLIS, OR 973390579

    Phone: (541) 766-0200

    Fax: (541) 766-6618

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-01

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800703562View full group profile
NameSpecialtyState
Orthopedic SurgeryOR
Clinical Social WorkerWA
Emergency MedicinePA
Emergency MedicineNY
Nurse PractitionerOR
Physician AssistantOR
-OR
Emergency MedicineOH
Clinical Social WorkerWA
Emergency MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify WANDA CAROL NEWSOME (CNP) for billing?
Administrative and clinical systems typically use NPI 1306129614 for WANDA CAROL NEWSOME (CNP).
Does the public listing show WANDA CAROL NEWSOME (CNP) as active?
WANDA CAROL NEWSOME (CNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits WANDA CAROL NEWSOME (CNP)?
NPPES ties WANDA CAROL NEWSOME (CNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is WANDA CAROL NEWSOME (CNP) tied to Lebanon, Oregon?
If you are local to Lebanon, Oregon, WANDA CAROL NEWSOME (CNP) may be relevant to your search.
Who maintains WANDA CAROL NEWSOME (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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