ROSMILI VILLAVICENCIO FNP
NPI 1659840650
Nurse Practitioner - Family in Portland, OR
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 Portland Medical Center, and maintains a secondary practice location in Clackamas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Rosmili Villavicencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 1,501 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician 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.
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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Rosmili Villavicencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosmili Villavicencio reassigns Medicare benefits to Providence Health & Services - Oregon (Portland, OR). The 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 Rosmili Villavicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Rosmili Villavicencio affiliated with any hospitals?
According to CMS data, Rosmili Villavicencio is affiliated with Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Rosmili Villavicencio was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rosmili Villavicencio, FNP · NPI 1659840650
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 19, 2018.
## Identity
- **NPI:** 1659840650 (Entity type: Individual)
- **Enumerated:** November 19, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201810081NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12400 NW CORNELL RD, Portland, OR 97229-5693
- **Phone:** (503) 659-1694
## 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:** Providence Health & Services - Oregon (NPI 1083714141, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659840650) · Data from the CMS NPPES public registry.