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AGNES WHITE FNP, LAC
NPI 1083669410
Nurse Practitioner in Portland, OR

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
421 SW OAK ST, STE. 210, PORTLAND, OR 97204(503) 988-7468 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Agnes White Fnp, Lac NPPES

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

AGNES WHITE FNP, LAC (NPI 1083669410) is an individual nurse practitioner in Portland, Oregon, licensed in Oregon (096000382N1) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1083669410
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAGNES WHITECredential: FNP, LAC
Location Address421 SW OAK ST, STE. 210Portland, OR 97204-1817
Mailing Address11211 Se Sunnyside RdClackamas, OR 97015-7787 · (503) 659-0880
Phone(503) 988-7468
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 12, 2013
✔ NPI 1083669410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · 096000382N1
Definition
(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.
Also ListedAcupuncturistTaxonomy 171100000X · License AC150310 (OR)
421 SW OAK ST, Portland, OR 97204
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Other Identifiers 4

Medicaid22959OR
Medicare UPINS54447
Medicaid096511OR
Medicare OSCAR/certificationR0000WCJHTOR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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

Agnes White Fnp, Lac 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 ID4385786482
PECOS Enrollment IDI20100128000215
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
76%306 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%160 patients2/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
54%91 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
97%91 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
78%1,398 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%38 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%517 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%591 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
66%483 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 330 patients
Patients tobacco: 83% · 330 patients
22%50 patients1/55-star benchmark: 98%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
34%375 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
80%104 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 38 patients
5%38 patients4/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 73% · 239 patients
Patients physicalActivity: 73% · 239 patients
89%239 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. LETICIA MARIA SAINZ M.A.
Counselor
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Multnomah County (503) 793-3184
MS. NGA YEN LE RDH
Dental Hygienist
421 SW OAK ST, STE. 210
PORTLAND, OR 97204
Multnomah County (503) 988-7468
JOLYNN MARIE THOMPSON PSS
Health Maintenance Organization
421 SW OAK ST
PORTLAND, OR 97204
Multnomah County (503) 988-5464
MS. MICHELLE LORETTA DESAI MSW
Counselor (Mental Health)
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Multnomah County (503) 867-4756
DARIAN FINLEY-GARCIA MSW, QMHA
Counselor (Mental Health)
421 SW OAK ST
PORTLAND, OR 97204
Multnomah County (503) 988-4161
DARLINE HILL
Case Manager/Care Coordinator
421 SW OAK ST
PORTLAND, OR 97204
Multnomah County (503) 988-2489
MS. KAREN KAZZ A ARTIS LPC, LCAT
Counselor (Professional)
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Multnomah County (503) 988-3999
KERRI AULT MSW
Case Manager/Care Coordinator
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Multnomah County (503) 988-5464

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 Agnes White's NPI number?

The NPI number for Agnes White is 1083669410. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Agnes White located?

Agnes White practices at 421 SW Oak St Ste. 210, Portland, OR 97204. The listed phone number is (503) 988-7468.

What is Agnes White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Agnes White enrolled in Medicare?

Yes. Agnes White 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 Agnes White accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Agnes White 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 Agnes White was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.