MRS. PRISCILLA DESVERGUNAT NP
NPI 1578234597
Nurse Practitioner - Pediatrics in Portland, OR

Q: What is Priscilla Desvergunat's NPI number?

The NPI number for Priscilla Desvergunat is 1578234597. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Q: What is Priscilla Desvergunat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since September 21, 2021PECOS Enrolled

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 276-9300(503) 276-9351 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Priscilla Desvergunat Np NPPES

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

MRS. PRISCILLA DESVERGUNAT NP (NPI 1578234597) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (202109745NP) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578234597

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. PRISCILLA DESVERGUNATCredential: NP

Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623

Mailing Address2801 N Gantenbein AvePortland, OR 97227-1623 · (503) 276-9300

Phone(503) 276-9300

Fax(503) 276-9351

Sole ProprietorNo

Enumeration DateSeptember 21, 2021

NPPES CertifiedSeptember 21, 2021

✔ NPI 1578234597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OR · 202109745NP

2801 N GANTENBEIN AVE, Portland, OR 97227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., 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 (PECOS)

Mrs. Priscilla Desvergunat Np 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 97227 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 20

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

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