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DR. LOVELINE OZIOMA IMANATUE DNP
NPI 1467022004
Nurse Practitioner in Lake Oswego, OR

Active since June 27, 2021PECOS EnrolledAccepts Medicare Assignment
4550 KRUSE WAY, LAKE OSWEGO, OR 97035(458) 600-2389(877) 323-0696 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Nov 10, 2022, Jun 27, 2021 (3 updates tracked since 2021).

About Dr. Loveline Ozioma Imanatue Dnp NPPES

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

DR. LOVELINE OZIOMA IMANATUE DNP (NPI 1467022004) is an individual nurse practitioner in Lake Oswego, Oregon, licensed in Arizona (257896) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467022004
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. LOVELINE OZIOMA IMANATUECredential: DNP
Location Address4550 KRUSE WAYLake Oswego, OR 97035-3594
Mailing Address4550 Kruse Way Ste 125Lake Oswego, OR 97035-3533 · (458) 600-2389 · Fax (877) 323-0696
Phone(458) 600-2389
Fax(877) 323-0696
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 27, 2021
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1467022004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 257896
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2020044450 (AZ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2020044450 (AZ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2020044450 (AZ)
4550 KRUSE WAY, Lake Oswego, OR 97035
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Secondary Practice Locations 3

Location 1525 W Brown RdMesa, AZ 85201-3202 · Phone (480) 684-5000
Location 211952 W Pierce StAvondale, AZ 85323-7212 · Phone (619) 735-5939
Location 33137 W Indian School RdPhoenix, AZ 85017-4069 · Phone (602) 325-5570 · Fax (415) 252-7176

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

Dr. Loveline Ozioma Imanatue Dnp 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 ID4082009964
PECOS Enrollment IDI20250319002712
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 97035 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.

CHERYN LEE GRANT D.O.
Psychiatry & Neurology (Psychiatry)
4550 KRUSE WAY, SUITE 225
LAKE OSWEGO, OR 97035
Clackamas County (503) 296-6661
DEBORAH LYNN MERTLICH LCSW
Social Worker (Clinical)
4550 KRUSE WAY, SUITE 225
LAKE OSWEGO, OR 97035
Clackamas County (971) 252-1545
DR. JEAN L LINSCOTT PH D
Psychologist (Clinical)
4550 KRUSE WAY, STE 340
LAKE OSWEGO, OR 97035
Clackamas County (503) 977-0400
DR. DAVID WILLIAM KATZ PH.D.
Psychologist
4550 KRUSE WAY, SUITE 225
LAKE OSWEGO, OR 97035
Clackamas County (503) 803-1390
DR. LEE HOWARD DOPPELT PH.D.
Psychologist
4550 KRUSE WAY, SUITE # 225
LAKE OSWEGO, OR 97035
Clackamas County (503) 697-0600
MS. JEAN MARIA PELOSI LCSW
Social Worker (Clinical)
4550 KRUSE WAY, SUITE 225
LAKE OSWEGO, OR 97035
Clackamas County (503) 697-0600
MS. MAXINE DEE BURTON LCSW
Social Worker
4550 KRUSE WAY, STE 225
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1446

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 Loveline Imanatue's NPI number?

The NPI number for Loveline Imanatue is 1467022004. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Where is Loveline Imanatue located?

Loveline Imanatue practices at 4550 Kruse Way, Lake Oswego, OR 97035. The listed phone number is (458) 600-2389.

What is Loveline Imanatue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Loveline Imanatue enrolled in Medicare?

Yes. Loveline Imanatue 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.

When was this NPI record last updated?

The NPPES record for Loveline Imanatue was last updated on April 17, 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.