ELIZABETH SUSAN GARY CNM
NPI 1215308796
Advanced Practice Midwife in Portland, OR

Q: What is Elizabeth Gary's NPI number?

The NPI number for Elizabeth Gary is 1215308796. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Q: What is Elizabeth Gary's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Gary was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 09, 2015PECOS Enrolled

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-4500(503) 494-3878 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Nov 27, 2015 (2 updates tracked since 2015).

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About Elizabeth Susan Gary Cnm NPPES

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

ELIZABETH SUSAN GARY CNM (NPI 1215308796) is an individual advanced practice midwife in Portland, Oregon, licensed in Oregon (202212279NP-PP) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215308796

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameELIZABETH SUSAN GARYCredential: CNM

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-4500 · Fax (503) 494-3878

Phone(503) 418-4500

Fax(503) 494-3878

Sole ProprietorYes

Enumeration DateOctober 9, 2015

Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1215308796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in OR · 202212279NP-PP

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Susan Gary Cnm 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 Billing Reassignments

Medicare enrollment records show Elizabeth Gary reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services

Same address

General Practice

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

Reassigned Medicare billing, Oregon enrollment
2,212 clinicians in this Medicare group

NPI 1376709535 (503) 494-8311

Kaiser Foundation Health Plan Of The Northwest

2.3 mi

General Practice

1035 NW NORTHRUP ST
Portland, OR 97209

Reassigned Medicare billing, Oregon and Washington enrollments
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1649722034 (800) 813-2000

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 97239 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

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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 20

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

DONALD RICHARD SULLIVAN MD

Internal Medicine (Pulmonary Disease)

3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239

Multnomah County (503) 494-6949

MRS. ANJALEE NIX ROWE NP

Nurse Practitioner (Acute Care)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-3988

REEM HASAN MD

Internal Medicine

3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239

Multnomah County (503) 494-8562

DR. AMANDA D BALL PSY.D

Psychologist (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

SUNSHINE WELSCH LMT

Massage Therapist

3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239

Multnomah County (503) 494-8349

DR. ROBERT GENE MEALER M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

GREGORY HALL MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

DR. BURHAN AHMED MIAN MD

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

KARINA RAE ESPANA MD

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

CLAIRE SAHLBERG RUGGERI MD

Pediatrics

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8220

KIMBERLY LAUREN IMBESI MD

Emergency Medicine

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8211

ANN PERRIN

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

KRIS KUMAR

Internal Medicine (Interventional Cardiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

SARAH POWER LCSW

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-0849

SHAHRZAD SHARAFI MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

JULIE MARIE MARTIN

Dietitian, Registered

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-5466

DR. SONYA FABRICANT MD

Obstetrics & Gynecology

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-4500

BRENDA BONILLA

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-2273

KAYLEE PURPURA

Otolaryngology

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8510

MOLLY ANDERSON PA-C

Physician Assistant (Medical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-4910

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 Elizabeth Gary's NPI number?

The NPI number for Elizabeth Gary is 1215308796. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Elizabeth Gary located?

Elizabeth Gary practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-4500.

What is Elizabeth Gary's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Elizabeth Gary enrolled in Medicare?

Yes. Elizabeth Gary is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Gary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gary reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Elizabeth Gary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Gary accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Elizabeth Gary 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Gary was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.