CORY ROBERT WOODYATT AGACNP-BC, RN
NPI 1114636123
Nurse Practitioner - Acute Care in Portland, OR
About Cory Robert Woodyatt Agacnp-bc, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY ROBERT WOODYATT AGACNP-BC, RN (NPI 1114636123) is an individual acute care provider in Portland, Oregon, licensed in Oregon (10024035) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cory Robert Woodyatt Agacnp-bc, Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Cory Woodyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Cory Woodyatt's NPI number?
The NPI number for Cory Woodyatt is 1114636123. It was assigned to this individual provider in the NPPES registry on November 17, 2022.
Where is Cory Woodyatt located?
Cory Woodyatt practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7551.
What is Cory Woodyatt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Cory Woodyatt enrolled in Medicare?
Yes. Cory Woodyatt 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.
Which organization bills Medicare for Cory Woodyatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Woodyatt reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Cory Woodyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cory Woodyatt affiliated with any hospitals?
According to CMS data, Cory Woodyatt is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Cory Woodyatt was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Cory Robert Woodyatt, AGACNP-BC, RN · NPI 1114636123
Acute Care physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 17, 2022.
## Identity
- **NPI:** 1114636123 (Entity type: Individual)
- **Enumerated:** November 17, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 10024035 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-7551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** August 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1114636123) · Data from the CMS NPPES public registry.