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RICHARD JORDAN DELAVAN FNP
NPI 1174161319
Nurse Practitioner - Family in Sherwood, OR

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment
16770 SW EDY RD STE 102A, SHERWOOD, OR 97140(503) 216-9600(503) 216-9650 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 13, 2020, Jun 26, 2020, Dec 18, 2019 (3 updates tracked since 2019).

About Richard Jordan Delavan Fnp NPPES

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

RICHARD JORDAN DELAVAN FNP (NPI 1174161319) is an individual family provider in Sherwood, Oregon, licensed in Oregon (201909698NP-PP) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174161319
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRICHARD JORDAN DELAVANCredential: FNP
Location Address16770 SW EDY RD STE 102ASherwood, OR 97140-9679
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-9600
Fax(503) 216-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 18, 2019
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1174161319 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
License✔ Licensed in OR · 201909698NP-PP
16770 SW EDY RD STE 102A, Sherwood, OR 97140
Open in Google Maps ↗

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

Richard Jordan Delavan Fnp 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 ID3072948785
PECOS Enrollment IDI20200127000179
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services51 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97140 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.

OSA BRIANA PECK RN, CDCES
Registered Nurse (Diabetes Educator)
16770 SW EDY RD STE 102A
SHERWOOD, OR 97140
Washington County (855) 360-5456

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 Richard Delavan's NPI number?

The NPI number for Richard Delavan is 1174161319. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Richard Delavan located?

Richard Delavan practices at 16770 SW Edy Rd Ste 102A, Sherwood, OR 97140. The listed phone number is (503) 216-9600.

What is Richard Delavan's specialty?

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

Is Richard Delavan enrolled in Medicare?

Yes. Richard Delavan 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.

Is Richard Delavan affiliated with any hospitals?

According to CMS data, Richard Delavan is affiliated with Providence St Vincent Medical Center and Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Delavan was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.