MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT
NPI 1124109889
Physician Assistant - Medical in Portland, OR

Active since October 18, 2006PECOS Enrolled
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225(503) 296-0918(503) 296-6158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Roberta Nadine Vandentop Physician Assistant NPPES

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

MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT (NPI 1124109889) is an individual medical provider in Portland, Oregon and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124109889
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ROBERTA NADINE VANDENTOPCredential: PHYSICIAN ASSISTANT
Location Address1815 SW MARLOW AVE, STE 110Portland, OR 97225-5185
Mailing Address14807 Nw Applegate LnPortland, OR 97229-1899 · (503) 747-2572
Fax(503) 296-6158
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124109889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1815 SW MARLOW AVE, Portland, OR 97225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Roberta Nadine Vandentop Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
17%181 patients1/55-star benchmark: 100%
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.
100%668 patients5/55-star benchmark: 100%
Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
100%286 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%181 patients5/55-star benchmark: 100%
Evaluation or Interview for Risk of Opioid Misuse
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the…
100%287 patients5/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
100%273 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%668 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
12%181 patients1/55-star benchmark: 100%
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
100%54 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%181 patients5/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
100%181 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
50%181 patients3/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
100%181 patients5/55-star benchmark: 100%
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.

Psychologist (Clinical)
1815 SW MARLOW AVE, SUITE110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Psychologist (Clinical)
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Physical Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Social Worker (Clinical)
1815 SW MARLOW AVE, SUITE 208
PORTLAND, OR 97225
Social Worker (Clinical)
1815 SW MARLOW AVE, 208
PORTLAND, OR 97225
Social Worker
1815 SW MARLOW AVE, SUITE 208
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124109889, enumerated as an "individual" on October 18, 2006.

The provider is located at 1815 SW MARLOW AVE STE 110 PORTLAND, OR 97225 and the phone number is (503) 296-0918.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.