ELLEN LOUISE KLINE PETERSEN FNP-C
NPI 1508235326
Nurse Practitioner - Family in Portland, OR
About Ellen Louise Kline Petersen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN LOUISE KLINE PETERSEN FNP-C (NPI 1508235326) is an individual family provider in Portland, Oregon, licensed in Oregon (201506508NP-PP) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Milwaukie.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ellen Louise Kline Petersen Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ellen Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORHillsboro Medical Center
Acute Care Hospitals · Hillsboro, ORPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Ellen Petersen's NPI number?
The NPI number for Ellen Petersen is 1508235326. It was assigned to this individual provider in the NPPES registry on September 22, 2015.
Where is Ellen Petersen located?
Ellen Petersen practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-4500.
What is Ellen Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ellen Petersen enrolled in Medicare?
Yes. Ellen Petersen 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.
Which organizations bill Medicare for Ellen Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Petersen reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Tuality Medical Group LLC (Hillsboro, OR). Each 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 Ellen Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Petersen accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Ellen Petersen 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.
Is Ellen Petersen affiliated with any hospitals?
According to CMS data, Ellen Petersen is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.
When was this NPI record last updated?
The NPPES record for Ellen Petersen was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ellen Louise Kline Petersen, FNP-C · NPI 1508235326
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 22, 2015.
## Identity
- **NPI:** 1508235326 (Entity type: Individual)
- **Enumerated:** September 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201506508NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 418-4500 · **Fax:** (503) 494-4473
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Tuality Medical Group LLC (NPI 1639690704, Hillsboro, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508235326) · Data from the CMS NPPES public registry.