BRENDON J SHIBLEY
NPI 1124833363
Nurse Practitioner - Family in Lake Oswego, OR
About Brendon J Shibley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDON J SHIBLEY (NPI 1124833363) is an individual family provider in Lake Oswego, Oregon, licensed in Washington (10048657) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Providence Milwaukie Hospital, and is a graduate of Other (2024).
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 and accepts Medicare assignment
Brendon J Shibley 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 Reassignments
2Medicare enrollment records show Brendon Shibley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hood River, OR 97031
- Reassigned Medicare billing, Oregon enrollment
- 11 clinicians in this Medicare group
Chandler, AZ 85226
- Reassigned Medicare billing, Arizona enrollment
- 8 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Milwaukie Hospital
Acute Care Hospitals · Milwaukie, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97035 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 Brendon Shibley's NPI number?
The NPI number for Brendon Shibley is 1124833363. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is Brendon Shibley located?
Brendon Shibley practices at 4823 Meadows Rd Ste 127, Lake Oswego, OR 97035. The listed phone number is (888) 227-3312.
What is Brendon Shibley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brendon Shibley enrolled in Medicare?
Yes. Brendon Shibley 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 organizations bill Medicare for Brendon Shibley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brendon Shibley reassigns Medicare benefits to 2 organizations: Columbia Pain Management, Inc. (Hood River, OR) and Azpc Clinics, LLC (Chandler, AZ). 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 Brendon Shibley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brendon Shibley accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brendon Shibley 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.
Is Brendon Shibley affiliated with any hospitals?
According to CMS data, Brendon Shibley is affiliated with Providence Milwaukie Hospital and Legacy Meridian Park Medical Center.
When was this NPI record last updated?
The NPPES record for Brendon Shibley was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Brendon J Shibley · NPI 1124833363
Family physician in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since February 12, 2025.
## Identity
- **NPI:** 1124833363 (Entity type: Individual)
- **Enumerated:** February 12, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10048657 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4823 MEADOWS RD STE 127, Lake Oswego, OR 97035-2622
- **Phone:** (888) 227-3312
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Columbia Pain Management, Inc. (NPI 1477670172, Hood River, OR); Azpc Clinics, LLC (NPI 1841696432, Chandler, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124833363) · Data from the CMS NPPES public registry.