DOUGLAS LEE BEAL ANP
NPI 1164530747
Nurse Practitioner - Adult Health in Portland, OR
About Douglas Lee Beal Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS LEE BEAL ANP (NPI 1164530747) is an individual adult health provider in Portland, Oregon, licensed in Oregon (087003278N3) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Lee Beal Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Douglas Beal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1184786527 (Washington)
- 3,207 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.
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.
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 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Douglas Beal's NPI number?
The NPI number for Douglas Beal is 1164530747. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Douglas Beal located?
Douglas Beal practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 285-9321.
What is Douglas Beal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Douglas Beal enrolled in Medicare?
Yes. Douglas Beal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Douglas Beal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Beal reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (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 Douglas Beal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Douglas Beal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Douglas Lee Beal, ANP · NPI 1164530747
Adult Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1164530747 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 087003278N3 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3550 N INTERSTATE AVE, Portland, OR 97227-1196
- **Phone:** (503) 285-9321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1164530747) · Data from the CMS NPPES public registry.