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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1225378615
Internal Medicine - Cardiovascular Disease in Newberg, OR

Active since February 21, 2013
1003 PROVIDENCE DR, SUITE 325, NEWBERG, OR 97132(503) 216-0770 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Apr 21, 2017 (3 updates tracked since 2017).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1225378615), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Newberg, Oregon and active in the NPI registry since February 2013. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1225378615
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1003 PROVIDENCE DR, SUITE 325Newberg, OR 97132-7521
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-0770
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateFebruary 21, 2013
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1225378615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedClinic/CenterTaxonomy 261Q00000X
1003 PROVIDENCE DR, Newberg, OR 97132
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence St Vincent Heart Clinic Heart Rhythm At Newberg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 96 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250
Family Practice212
Nurse Practitioner210
Hospitalist96
Neurology57
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Clinical Psychologist53
48 other specialties509

Nearest to this location (20)

See all 1,498
Ellen Andrae, MD
Neurology
NPI 1427248202
1003 PROVIDENCE DR SUITE 110
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Caitlin Ansel, FNP
Nurse Practitioner
NPI 1588251532
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Matthew Brookes, D.O.
Otolaryngology
NPI 1114366424
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Alan Burningham, MD
Otolaryngology
NPI 1578669487
1003 PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Thomas Croy, MD
Orthopedic Surgery
NPI 1770579237
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Richard Fisher, MD
General Surgery
NPI 1396770186
1003 PROVIDENCE DR SUITE # 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Drew Houston, MD
Neurology
NPI 1285175604
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Shannon Howard, MD
General Surgery
NPI 1144639691
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Esther Im, NP
Nurse Practitioner
NPI 1447807532
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Allen Moore, MD
Orthopedic Surgery
NPI 1174662167
1003 PROVIDENCE DR SUITE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Jillian Pennington, FNP
Nurse Practitioner
NPI 1225910649
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Gregory Stroup, M.D.
General Surgery
NPI 1053532564
1003 PROVIDENCE DR SUITE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts MedicareSame address
Matthew Becker, D.O.
Internal Medicine
NPI 1679817704
1003 PROVIDENCE DR SUITE 110
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts MedicareSame address
Nina Bergquam, MD
Internal Medicine
NPI 1558301259
1003 PROVIDENCE DR STE 110
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts MedicareSame address
Benjamin Calvert, MD
Family Practice
NPI 1316195704
1003 PROVIDENCE DR SUITE 210
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts MedicareSame address
Kelly Perlewitz, MD
Medical Oncology
NPI 1508086067
1003 PROVIDENCE DR STE 310
Newberg, OR 97132
(503) 537-6040
✔ PECOS✔ Accepts MedicareSame address
Tamara Rodgers, MD
Family Practice
NPI 1568493435
1003 PROVIDENCE DR SUITE 210
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts MedicareSame address
Lian Shaw, MD
Cardiovascular Disease (Cardiology)
NPI 1154379576
1003 PROVIDENCE DR SUITE 325
Newberg, OR 97132
(503) 216-2188
✔ PECOS✔ Accepts MedicareSame address
Jeri Turgesen, PSYD
Clinical Psychologist
NPI 1447688916
1003 PROVIDENCE DR SUITE 101
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts MedicareSame address
Adesua Ilogienboh, RD
Registered Dietitian or Nutrition Professional
NPI 1497408785
1001 N PROVIDENCE DR
Newberg, OR 97132
(503) 537-1536
✔ Accepts MedicareSame address
See all 1,498 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1225378615. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Providence Medical Group and Providence St Vincent Heart Clinic Heart Rhythm at Newberg.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1003 Providence Dr Suite 325, Newberg, OR 97132. The listed phone number is (503) 216-0770.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A 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 the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 28 practice at this address and 96 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.