MS. MARY ANN NAMETKA DNP,MSN,CWON,FNP-BC
NPI 1104835297
Nurse Practitioner - Family in Portland, OR
About Ms. Mary Ann Nametka Dnp,msn,cwon,fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY ANN NAMETKA DNP,MSN,CWON,FNP-BC (NPI 1104835297) is an individual family provider in Portland, Oregon, licensed in Oregon (200750071NP) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mary Ann Nametka Dnp,msn,cwon,fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Mary Nametka reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97223
- Reassigned Medicare billing, Oregon enrollment
- 36 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- 28 clinicians in this Medicare group
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 91 clinicians in this Medicare group
Tacoma, WA 98409
- Reassigned Medicare billing, Washington enrollment
- 104 clinicians in this Medicare group
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 120 clinicians in this Medicare group
Spokane, WA 99218
- Reassigned Medicare billing, Washington enrollment
- 105 clinicians in this Medicare group
Beverly Hills, CA 90210
- Reassigned Medicare billing, Oregon and Washington enrollments
- 2 clinicians in this Medicare group
El Segundo, CA 90245
- Reassigned Medicare billing, Washington enrollment
- 5 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Oregon enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Nametka's NPI number?
The NPI number for Mary Nametka is 1104835297. It was assigned to this individual provider in the NPPES registry on August 6, 2006.
Where is Mary Nametka located?
Mary Nametka practices at 7914 SE Main St, Portland, OR 97215. The listed phone number is (503) 888-0390.
What is Mary Nametka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Nametka enrolled in Medicare?
Yes. Mary Nametka is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Nametka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Nametka reassigns Medicare benefits to 9 organizations: Dispatchhealth-Oregon PC (Portland, OR), Rainier Springs Physician Group, LLC (Vancouver, WA), Cs Pacs 3 Northwest, LLC (Puyallup, WA), Wa Pacs 2 PC (Tacoma, WA), Dispatchhealth Washington PC (Tacoma, WA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Nametka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Nametka accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary Nametka 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 Mary Nametka was last updated on January 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Mary Ann Nametka, DNP,MSN,CWON,FNP-BC · NPI 1104835297
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 6, 2006.
## Identity
- **NPI:** 1104835297 (Entity type: Individual)
- **Enumerated:** August 6, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 200750071NP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7914 SE MAIN ST, Portland, OR 97215-3031
- **Phone:** (503) 888-0390 · **Fax:** (888) 898-0933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Dispatchhealth-Oregon PC (NPI 1649822990, Portland, OR); Rainier Springs Physician Group, LLC (NPI 1306321237, Vancouver, WA); Cs Pacs 3 Northwest, LLC (NPI 1811752066, Puyallup, WA); Wa Pacs 2 PC (NPI 1144706532, Tacoma, WA); Dispatchhealth Washington PC (NPI 1013490507, Tacoma, WA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104835297) · Data from the CMS NPPES public registry.