PEGGY ANN BRADLEY PEARSON ANP
NPI 1114106598
Nurse Practitioner - Adult Health in Portland, OR

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
3500 N INTERSTATE AVE, PORTLAND, OR 97227(503) 249-5511 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peggy Ann Bradley Pearson Anp NPPES

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

PEGGY ANN BRADLEY PEARSON ANP (NPI 1114106598) is an individual adult health provider in Portland, Oregon, licensed in Oregon (200550062NP) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1114106598
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePEGGY ANN BRADLEY PEARSONCredential: ANP
Location Address3500 N INTERSTATE AVEPortland, OR 97227-1196
Mailing Address14653 Nw Dawnwood DrPortland, OR 97229-1563 · (503) 617-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 1, 2007
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
NPI 1114106598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OR · 200550062NP
3500 N INTERSTATE AVE, Portland, OR 97227

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

Peggy Ann Bradley Pearson Anp 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 ID9638163488
PECOS Enrollment IDI20080310000362
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 97227 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.

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.

Physician Assistant
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Physician Assistant
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Internal Medicine (Rheumatology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114106598, enumerated as an "individual" on November 01, 2007.

The provider is located at 3500 N INTERSTATE AVE PORTLAND, OR 97227 and the phone number is (503) 249-5511.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.