MARIA GROMPE MOREDOCK PA
NPI 1063961282
Physician Assistant - Medical in Portland, OR

Active since September 29, 2016PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-5856(503) 494-2370 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Sep 29, 2020, Aug 28, 2018 and 2 more (5 updates tracked since 2016).

About Maria Grompe Moredock Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA GROMPE MOREDOCK PA (NPI 1063961282) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA190467) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2018).

NPPES Registry Identity

NPI1063961282
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIA GROMPE MOREDOCKCredential: PA
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-5856 · Fax (503) 494-2370
Fax(503) 494-2370
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateSeptember 29, 2016
Last NPPES UpdateMay 14, 20255 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1063961282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA190467
Also ListedPhysician AssistantTaxonomy 363A00000X
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Locations 2

Location 12730 SW Moody Ave, CL5PAPortland, OR 97201-5042 · Phone (503) 494-3633
Location 23101 SW Sam Jackson Park RoadPortland, OR 97239 · Phone (503) 221-3424 · Fax (503) 221-3490

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maria Grompe Moredock Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002332202
PECOS Enrollment IDI20250430003252
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Moredock's NPI number?

The NPI number for Maria Moredock is 1063961282. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Maria Moredock located?

Maria Moredock practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-5856.

What is Maria Moredock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maria Moredock enrolled in Medicare?

Yes. Maria Moredock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maria Moredock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Maria Moredock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Moredock was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.