SUSAN M ANDERSON NP NPI 1023290368

Nurse Practitioner in Portland, OR

NPI 1023290368 Individual Female Nurse Practitioner PECOS Enrolled

About SUSAN ANDERSON

Susan Anderson is a provider established in Portland, Oregon and her medical specialization is nurse practitioner. The NPI number of Susan Anderson is 1023290368 and was assigned on November 2007. The practitioner's primary taxonomy code is 363L00000X with license number 000030393N1 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.

A nurse practitioner (NP) like Susan M Anderson Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Susan Anderson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Susan Anderson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1023290368

Provider Name SUSAN M ANDERSON NP
Provider Location Address15 N MORRIS ST PORTLAND, OR 97227
Provider Mailing Address1776 SW MADISON ST PORTLAND, OR 97205
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-28-2007
Last Update Date10-12-2020


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.000030393N1
License StateOR
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

SUSAN M ANDERSON NP
15 N MORRIS ST
PORTLAND, OR
ZIP 97227
Phone: (503) 230-9875
Fax: (503) 230-9877

Get Directions


Mailing Address

SUSAN M ANDERSON NP
1776 SW MADISON ST
PORTLAND, OR
ZIP 97205
Phone: (503) 224-1044
Fax: (503) 621-2235



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163W00000XNursing Service ProvidersRegistered NurseRN60051570WANo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2163W00000XNursing Service ProvidersRegistered Nurse000030393RNORNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

3363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAP60051220WANo

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
100208166MEDICAID (05)OR

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538158597 MAY WANG MD
Individual
Family Medicine15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1932190618 NICHOLAS DRAKOS MD
Individual
Psychiatry & Neurology (Psychiatry)15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1710978069 BARBARA LYNNE GUNDRUM RN
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1386833903NARA NORTHWEST
Organization
Registered Nurse (Addiction (Substance Use Disorder))15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1386944932 NICOLETA V BAILA
Individual
Counselor (Mental Health)15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1902261514 NIKKI LEDOUX
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1992166524MS. JUDY JOHNSON RPT, CPHT
Individual
Pharmacy Technician15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1841641651 SYDNEY GRABOYES
Individual
Student in an Organized Health Care Education/Training Program15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1942652334 BRITNI CHILDS RN
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1942532957 SANYUP J LEE MD
Individual
Psychiatry & Neurology (Psychiatry)15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1639174915 JOANNE ROSALYN CLAIRE RICHARDSON-TOLLERTON MD
Individual
Family Medicine15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1265979918 DINO BROZAN RN
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1396734364NATIVE AMERICAN REHABILITATION ASSOCIATION, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1801144472 BRUCE L EASTMAN FNP
Individual
Nurse Practitioner (Family)15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1720528037 KELLEN J KJERA RN
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1154578334MS. GAIA ILENE ARTEMISIA LCSW
Individual
Social Worker (Clinical)15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1659362119 ALISON J GOERL RD/LD
Individual
Dietitian, Registered15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1336274372NATIVE AMERICAN REHABILITATION ASSOCIATION, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1689703183 SHEILA NALANI MARIE HEUSCHKEL RD/LD
Individual
Dietitian, Registered15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875
1851808604 LAURIE A RIESCHEL RN/QMHP
Individual
Registered Nurse15 N MORRIS ST
PORTLAND, OR 97227
(503) 230-9875

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.