ROSMILI VILLAVICENCIO FNP
NPI 1659840650
Nurse Practitioner - Family in Portland, OR

Active since November 19, 2018PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
12400 NW CORNELL RD, PORTLAND, OR 97229(503) 659-1694 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Nov 19, 2018 (2 updates tracked since 2018).

About Rosmili Villavicencio Fnp NPPES

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

ROSMILI VILLAVICENCIO FNP (NPI 1659840650) is an individual family provider in Portland, Oregon, licensed in Oregon (201810081NP-PP) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Clackamas.

NPPES Registry Identity

NPI1659840650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSMILI VILLAVICENCIOCredential: FNP
Location Address12400 NW CORNELL RDPortland, OR 97229-5693
Mailing Address4805 Ne Glisan StPortland, OR 97213-2933 · (503) 215-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 19, 2018
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1659840650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201810081NP-PP
12400 NW CORNELL RD, Portland, OR 97229

Secondary Practice Location 1

Location 18645 SE Sunnybrook Blvd Ste 200Clackamas, OR 97015-6841 · Phone (503) 659-1694

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

Rosmili Villavicencio Fnp 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 ID1850788167
PECOS Enrollment IDI20220504002430
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97229 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.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 10

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

Podiatrist
12400 NW CORNELL RD
PORTLAND, OR 97229
Plastic Surgery
12400 NW CORNELL RD, SUITE 200
PORTLAND, OR 97229
Specialist
12400 NW CORNELL RD, SUITE 200
PORTLAND, OR 97229
Podiatrist (Foot & Ankle Surgery)
12400 NW CORNELL RD, SUITE 201
PORTLAND, OR 97229
Family Medicine
12400 NW CORNELL RD
PORTLAND, OR 97229
Family Medicine
12400 NW CORNELL RD
PORTLAND, OR 97229
Family Medicine
12400 NW CORNELL RD
PORTLAND, OR 97229
Surgery
12400 NW CORNELL RD, SUITE 200
PORTLAND, OR 97229

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 Rosmili Villavicencio's NPI number?

The NPI number for Rosmili Villavicencio is 1659840650. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Rosmili Villavicencio located?

Rosmili Villavicencio practices at 12400 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 659-1694.

What is Rosmili Villavicencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rosmili Villavicencio enrolled in Medicare?

Yes. Rosmili Villavicencio 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.

Is Rosmili Villavicencio affiliated with any hospitals?

According to CMS data, Rosmili Villavicencio is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Rosmili Villavicencio was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.