Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENDON J SHIBLEY
NPI 1124833363
Nurse Practitioner - Family in Lake Oswego, OR

Q: 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.

Q: What is Brendon Shibley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 24 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.

Active since February 12, 2025PECOS EnrolledAccepts Medicare Assignment

4823 MEADOWS RD STE 127, LAKE OSWEGO, OR 97035(888) 227-3312 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Feb 12, 2025 (2 updates tracked since 2025).

On this page

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

NPI1124833363

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRENDON J SHIBLEY

Location Address4823 MEADOWS RD STE 127Lake Oswego, OR 97035-2622

Mailing AddressPo Box 31001Pasadena, CA 91110-4141 · (888) 227-3312

Phone(888) 227-3312

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 12, 2025

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1124833363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in WA · 10048657✔ Licensed in AZ · 237599

4823 MEADOWS RD STE 127, Lake Oswego, OR 97035

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

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.

PECOS PAC ID6204358443

PECOS Enrollment IDI20251003003909

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.

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, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380082

Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician 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.

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CAROL FEY POWERS PA-C

Physician Assistant

4823 MEADOWS RD STE 127
LAKE OSWEGO, OR 97035

Clackamas County (888) 227-3312

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.

What insurance does Brendon Shibley accept?

Health plans from BridgeSpan Health Company 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 24 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.