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AYUMI MIZUNO AGNP-C
NPI 1215730031
Nurse Practitioner - Adult Health in Tualatin, OR

Active since March 28, 2025PECOS EnrolledAccepts Medicare Assignment
7790 SW MOHAWK ST, TUALATIN, OR 97062(503) 885-1515(503) 885-1520 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ayumi Mizuno Agnp-c NPPES

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

AYUMI MIZUNO AGNP-C (NPI 1215730031) is an individual adult health provider in Tualatin, Oregon, licensed in Oregon (10031967) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215730031
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAYUMI MIZUNOCredential: AGNP-C
Location Address7790 SW MOHAWK STTualatin, OR 97062-9191
Mailing Address7790 Sw Mohawk StTualatin, OR 97062-9191 · (503) 885-1515 · Fax (503) 885-1520
Phone(503) 885-1515
Fax(503) 885-1520
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 28, 2025
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1215730031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OR · 10031967
7790 SW MOHAWK ST, Tualatin, OR 97062
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, 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

Ayumi Mizuno Agnp-c 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 ID2163948449
PECOS Enrollment IDI20250429003665
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 3

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

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

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 97062 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 3

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

DR. JASON G ANDERSON D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
7790 SW MOHAWK ST
TUALATIN, OR 97062
Washington County (503) 885-1515
TYLER GARRETT HUNTINGTON
Physician Assistant
7790 SW MOHAWK ST
TUALATIN, OR 97062
Washington County (503) 885-1515
SPINAL DIAGNOSTICS PC
Specialist
7790 SW MOHAWK ST
TUALATIN, OR 97062
Washington County (503) 885-1515

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 Ayumi Mizuno's NPI number?

The NPI number for Ayumi Mizuno is 1215730031. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Ayumi Mizuno located?

Ayumi Mizuno practices at 7790 SW Mohawk St, Tualatin, OR 97062. The listed phone number is (503) 885-1515.

What is Ayumi Mizuno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ayumi Mizuno enrolled in Medicare?

Yes. Ayumi Mizuno 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 Ayumi Mizuno accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ayumi Mizuno 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 Ayumi Mizuno affiliated with any hospitals?

According to CMS data, Ayumi Mizuno is affiliated with Providence Newberg Medical Center, Salem Hospital and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Ayumi Mizuno was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.