PROVIDENCE PORTLAND MEDICAL CENTER
NPI 1316199987
Nurse Practitioner in Portland, OR
About Providence Portland Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE PORTLAND MEDICAL CENTER (NPI 1316199987), doing business as Prov Nurse Practitioners East, is a healthcare organization registered as a nurse practitioner in Portland, Oregon and active in the NPI registry since October 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Portland Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
676Medicare enrollment records show 676 clinicians reassign Medicare billing to Providence Portland Medical Center, which bills Medicare for the services they deliver. Of these, 109 practice at this address and 554 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 48
Nearest to this location (20)
See all 676Source: 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 Portland Medical Center's NPI number?
The NPI number for Providence Portland Medical Center is 1316199987. It was assigned to this organization in the NPPES registry on October 15, 2008. The provider is doing business as Prov Nurse Practitioners East.
Where is Providence Portland Medical Center located?
Providence Portland Medical Center is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-6185.
What is Providence Portland Medical Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Providence Portland Medical Center enrolled in Medicare?
Yes. Providence Portland Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Portland Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 676 clinicians in 48 Medicare specialties reassign their Medicare billing to Providence Portland Medical Center. 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 Nurse Practitioner (79), Internal Medicine (72) and Family Practice (50). Of these, 109 practice at this address and 554 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 Portland Medical Center was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Providence Portland Medical Center · NPI 1316199987
Nurse Practitioner organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since October 15, 2008.
## Identity
- **NPI:** 1316199987 (Entity type: Organization)
- **Enumerated:** October 15, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** PROV NURSE PRACTITIONERS EAST (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENTS
## Practice location
- **Address:** 4805 NE GLISAN ST, Portland, OR 97213-2933
- **Phone:** (503) 215-6185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 676 clinicians in 48 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (79), Internal Medicine (72), Family Practice (50); 109 practice at this address and 554 within 10 miles; [full list](https://npiprofile.com/npi/1316199987/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316199987) · Data from the CMS NPPES public registry.