MS. DANIELLE ALISON BROUILLARD MSN, AGACNP-BC, OCN
NPI 1396453205
Nurse Practitioner - Acute Care in Portland, OR

Q: What is Danielle Brouillard's NPI number?

The NPI number for Danielle Brouillard is 1396453205. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Q: What is Danielle Brouillard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since November 09, 2022PECOS EnrolledAccepts Medicare Assignment

3485 S BOND AVE, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Nov 9, 2022 (2 updates tracked since 2022).

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About Ms. Danielle Alison Brouillard Msn, Agacnp-bc, Ocn NPPES

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

MS. DANIELLE ALISON BROUILLARD MSN, AGACNP-BC, OCN (NPI 1396453205) is an individual acute care provider in Portland, Oregon, licensed in Oregon (10002086) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Vanderbilt University School Of Medicine (2022).

NPPES Registry Identity

NPI1396453205

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. DANIELLE ALISON BROUILLARDCredential: MSN, AGACNP-BC, OCN

Location Address3485 S BOND AVEPortland, OR 97239-4503

Mailing Address2314 Se 46th AvePortland, OR 97215-3738 · (603) 380-1771

Phone(503) 494-8311

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2022

Enumeration DateNovember 9, 2022

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1396453205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OR · 10002086

Also ListedRegistered NurseTaxonomy 163W00000X · License 202213884RN (OR)

3485 S BOND AVE, Portland, OR 97239

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Other Identifiers 1

Other10002086OR · Aprn License

Accepted Insurance

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

Ms. Danielle Alison Brouillard Msn, Agacnp-bc, Ocn 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 ID345684544

PECOS Enrollment IDI20240215002217

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

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

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

$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 7

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

TAYLOR KARL MD

Internal Medicine (Gastroenterology)