CAROLYN D CONCIA NP PROF CORP
NPI 1487216669
Nurse Practitioner - Gerontology in Portland, OR
About Carolyn D Concia Np Prof Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN D CONCIA NP PROF CORP (NPI 1487216669) is a healthcare organization registered as a gerontology in Portland, Oregon and active in the NPI registry since July 2019. The organization lists Carolyn D Concia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Carolyn D Concia Np Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolyn D Concia Np Prof Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Carolyn D Concia Np Prof Corp's NPI number?
The NPI number for Carolyn D Concia Np Prof Corp is 1487216669. It was assigned to this organization in the NPPES registry on July 8, 2019.
Where is Carolyn D Concia Np Prof Corp located?
Carolyn D Concia Np Prof Corp is located at 2308 NW Stimpson Ln, Portland, OR 97229. The listed phone number is (971) 294-0560.
What is Carolyn D Concia Np Prof Corp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Carolyn D Concia Np Prof Corp enrolled in Medicare?
Yes. Carolyn D Concia Np Prof Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolyn D Concia Np Prof Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Carolyn D Concia Np Prof Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carolyn D Concia Np Prof Corp was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Carolyn D Concia Np Prof Corp · NPI 1487216669
Gerontology organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since July 8, 2019.
## Identity
- **NPI:** 1487216669 (Entity type: Organization)
- **Enumerated:** July 8, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Carolyn Concia, OWNER
## Practice location
- **Address:** 2308 NW STIMPSON LN, Portland, OR 97229-8562
- **Phone:** (971) 294-0560
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1487216669) · Data from the CMS NPPES public registry.