PHYLLIS DESHUN HURSEY MD
NPI 1427029537
Family Medicine in Portland, OR

Active since January 27, 2006PECOS Enrolled
1206 SE 11TH AVE, PORTLAND, OR 97214(503) 389-1166(503) 389-1161 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis Deshun Hursey Md NPPES

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

PHYLLIS DESHUN HURSEY MD (NPI 1427029537) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD26240) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427029537
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePHYLLIS DESHUN HURSEYCredential: MD
Location Address1206 SE 11TH AVEPortland, OR 97214-3601
Mailing Address13215 Se Mill Plain Blvd Ste C8Vancouver, WA 98684-6999 · (503) 269-2409 · Fax (503) 389-1161
Fax(503) 389-1161
Sole ProprietorYes
Enumeration DateJanuary 27, 2006
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
NPI 1427029537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD26240
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MD26240 (OR)
1206 SE 11TH AVE, Portland, OR 97214

Other Identifiers 1

OtherMD26240OR · Licence

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phyllis Deshun Hursey Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97214 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.

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 Phyllis Hursey's NPI number?

The NPI number for Phyllis Hursey is 1427029537. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Phyllis Hursey located?

Phyllis Hursey practices at 1206 SE 11th Ave, Portland, OR 97214. The listed phone number is (503) 389-1166.

What is Phyllis Hursey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phyllis Hursey enrolled in Medicare?

Yes. Phyllis Hursey is registered in the Medicare PECOS enrollment system.

What insurance does Phyllis Hursey accept?

Health plans from Kaiser Permanente list Phyllis Hursey 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 Phyllis Hursey was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.