Karly Jane Nesbitt · Karly Jane Rudy · Physician Assistant

2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279

Overview

Karly Jane Nesbitt is a Physician Assistant practicing in Bend, Oregon. The National Provider Identifier (NPI) is #1649835208, which was assigned on May 8, 2019, and the registration record was last updated on May 4, 2026. The practitioner's main practice location is at 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279; the contact telephone number is 5417066915. The primary taxonomy of Karly Jane Nesbitt is Physician Assistant (363A00000X). Karly Jane Nesbitt is licensed to practice in the state of Wisconsin (#7383-23).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1649835208
Entity Type Individual
Provider Name KARLY JANE NESBITT
Other Name KARLY JANE RUDY
(Former Name)
Gender Female
Credential PA-C
Other Credential PA-C
Practice Address 2200 Ne Neff Rd Ste 302
Bend
OR 97701-4279
Practice Telephone 5417066915
Mailing Address 400 Westwood Dr Ste 100
Wausau
WI 54401-7801
Mailing Telephone 7153596442
Mailing Fax Number 7153930390
Certification Date 2026-05-04
Enumeration Date 2019-05-08
Last Update Date 2026-05-04
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5890024798
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KARLY NESBITT
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name ST CHARLES HEALTH SYSTEM INC
Address 211 Nw Larch Ave
Family Care
Redmond
OR 97756-1357

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant7383-23WI

Secondary Practice Locations

AddressTelephoneFax
225000 Hummingbird Rd Ste 100, Wausau, WI 54401295071535964427153596442
2500 NE Neff Rd, Bend, OR 9770160155413824321

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Zachary William Block · Zac Block 3144 S Gordon Ave, Wichita, KS 67217-1520Physician Assistant2026-05-09
Jenna Marie Thompson 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201Physician Assistant2026-05-08
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Gabrielle Turner 1341 Clark St, Cambridge, OH 43725-9614Physician Assistant2026-05-08
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Michelle Masih 7764 Brookdale Dr, West Chester, OH 45069-3343Physician Assistant2026-05-09
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Location Information

Street Address 2200 NE NEFF RD STE 302
City BEND
State OR
Zip Code 97701-4279
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Emily Geiger Maxwell 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Physician Assistant2017-09-08
Micaela Scafani 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Physician Assistant2023-09-22
Mary Rouzer 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Family Nurse Practitioner2017-11-09
Donald William Furman 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Surgical Critical Care Physician2019-03-20
Kyle Gray 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Physician Assistant2018-08-15
Joshua Malcolm Rust 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Physician Assistant2021-02-04
Angela Rehder 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Surgical Physician Assistant2017-02-22
Seneca Lawson 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Physician Assistant2025-07-28
Aleah Driscoll 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Medical Physician Assistant2020-10-14
Jaired Hudson 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279Critical Care Medicine Registered Nurse2023-09-19
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Willamette Orthotics & Prosthetics LLC 2200 Ne Neff Rd Ste 307, Bend, OR 97701-4279Prosthetic/Orthotic Supplier2007-10-09
Daniel E Fohrman 2200 Ne Neff Rd, Ste 302, Bend, OR 97701-4279Specialist2006-08-31

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Roots Family Medicine LLC 2275 Ne Doctors Dr Ste 1a, Bend, OR 97701Internal Medicine Physician2018-12-09
Magnolia Natural Healing LLC 1554 Ne 4th Street, Midtown Wellness Center, Bend, OR 97701Acupuncturist2022-02-22
Sheldon Shawn Doveri 233 Nw Revere Ave, Bend, OR 97701Driver2016-06-15
Amy C Kowalski · Amy C Vanacker 2542 Ne Courtney Dr., Bend, OR 97701Massage Therapist2018-10-03
Moon Marcelle Bukas 501 Ne Green Wood Ave, 300, Bend, OR 97701Massage Therapist2020-09-21
Kevin Richard Pett 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701Acupuncturist2016-06-27
Praxis Health, PC 1303 Ne Cushing Drive, Suite 100, Bend, OR 97701Durable Medical Equipment & Medical Supplies2019-06-10
Still Serving Counseling and Services, LLC 2570 Ne Twin Knolls Dr., Ste#120, Bend, OR 97701Mental Health Counselor2021-01-19
Patrick Allen Irish 63212 Ne Lancaster Dr, Bend, OR 97701Addiction (Substance Use Disorder) Counselor2024-09-27
Andrew Traut Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701Athletic Trainer2019-01-04
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.