ELIZABETH PRUETT NP
NPI 1831131747
Nurse Practitioner - Pediatrics in Tualatin, OR

Active since June 12, 2006PECOS Enrolled
22300 SW BOONES FERRY RD, TUALATIN, OR 97062(503) 941-3180 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Aug 7, 2018, Feb 1, 2016 (3 updates tracked since 2016).

About Elizabeth Pruett Np NPPES

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

ELIZABETH PRUETT NP (NPI 1831131747) is an individual pediatrics provider in Tualatin, Oregon, licensed in Oregon (097000577N2NP-PP) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831131747
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELIZABETH PRUETTCredential: NP
Location Address22300 SW BOONES FERRY RDTualatin, OR 97062-7373
Mailing Address7320 Sw Hunziker Rd Ste 300Portland, OR 97223-2302 · (503) 941-3033 · Fax (503) 747-7013
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 28, 20223 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
NPI 1831131747 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 · 097000577N2NP-PP
22300 SW BOONES FERRY RD, Tualatin, OR 97062

Other Identifiers 1

Medicaid237041OR

Accepted 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)

Elizabeth Pruett 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 97062 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 9

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

Nurse Practitioner (Pediatrics)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Social Worker (Clinical)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Specialist/Technologist (Athletic Trainer)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Clinic/Center (Federally Qualified Health Center (FQHC))
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Social Worker (School)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Counselor (Mental Health)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Social Worker (Clinical)
22300 SW BOONES FERRY RD
TUALATIN, OR 97062
Clinic/Center (Federally Qualified Health Center (FQHC))
22300 SW BOONES FERRY RD
TUALATIN, OR 97062

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 Elizabeth Pruett's NPI number?

The NPI number for Elizabeth Pruett is 1831131747. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Elizabeth Pruett located?

Elizabeth Pruett practices at 22300 SW Boones Ferry Rd, Tualatin, OR 97062. The listed phone number is (503) 941-3180.

What is Elizabeth Pruett's specialty?

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

Is Elizabeth Pruett enrolled in Medicare?

Yes. Elizabeth Pruett is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Pruett accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elizabeth Pruett 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 Elizabeth Pruett was last updated on March 28, 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.