DR. LAURA MARIE IBSEN MD
NPI 1821003336
Pediatrics - Pediatric Critical Care Medicine in Portland, OR
About Dr. Laura Marie Ibsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAURA MARIE IBSEN MD (NPI 1821003336) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD21171) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Laura Marie Ibsen Md 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 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 Laura Ibsen's NPI number?
The NPI number for Laura Ibsen is 1821003336. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Laura Ibsen located?
Laura Ibsen practices at 3181 SW Sam Jackson Park Rd Cdrcp, Portland, OR 97239. The listed phone number is (503) 494-4608.
What is Laura Ibsen's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Laura Ibsen enrolled in Medicare?
Yes. Laura Ibsen 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.
When was this NPI record last updated?
The NPPES record for Laura Ibsen was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Laura Marie Ibsen, MD · NPI 1821003336
Pediatric Critical Care Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1821003336 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** MD21171 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, CDRCP, Portland, OR 97239-3011
- **Phone:** (503) 494-4608
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, San Diego School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** July 13, 2007
- **Other identifiers:** Medicaid 159050 (OR); Medicare UPIN G39503
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Source: [NPI Profile](https://npiprofile.com/npi/1821003336) · Data from the CMS NPPES public registry.