LUCY ANNE BLOEDON
NPI 1730712290
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Lucy Bloedon's NPI number?

The NPI number for Lucy Bloedon is 1730712290. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Q: What is Lucy Bloedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Lucy Bloedon enrolled in Medicare?

No. Lucy Bloedon has opted out of Medicare through November 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lucy Bloedon was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 12, 2020Opted out of Medicare · through Nov 4, 2026

4020 SW IOWA ST, PORTLAND, OR 97221(503) 577-9504 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lucy Anne Bloedon NPPES

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

LUCY ANNE BLOEDON (NPI 1730712290) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (20200141NP-PP) and active in the NPI registry since February 2020. She has opted out of Medicare through November 4, 2026.

NPPES Registry Identity

NPI1730712290

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLUCY ANNE BLOEDON

Location Address4020 SW IOWA STPortland, OR 97221-3423

Mailing Address4020 Sw Iowa StPortland, OR 97221-3423 · (503) 577-9504

Phone(503) 577-9504

Sole ProprietorNo

Enumeration DateFebruary 12, 2020

✔ NPI 1730712290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 20200141NP-PP

4020 SW IOWA ST, Portland, OR 97221

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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., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Lucy Anne Bloedon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 4, 2024 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2024

Opt-Out In Effect ThroughNovember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Lucy Bloedon's NPI number?

The NPI number for Lucy Bloedon is 1730712290. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Lucy Bloedon located?

Lucy Bloedon practices at 4020 SW Iowa St, Portland, OR 97221. The listed phone number is (503) 577-9504.

What is Lucy Bloedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lucy Bloedon enrolled in Medicare?

No. Lucy Bloedon has opted out of Medicare through November 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lucy Bloedon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lucy Bloedon 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.

When was this NPI record last updated?

The NPPES record for Lucy Bloedon was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.