ELAINE PRENDIVILLE HEATON MEDICAL STUDENT
NPI 1861075764
Student in an Organized Health Care Education/Training Program in Portland, OR
About Elaine Prendiville Heaton Medical Student NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE PRENDIVILLE HEATON MEDICAL STUDENT (NPI 1861075764) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elaine Prendiville Heaton Medical Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Elaine Heaton's NPI number?
The NPI number for Elaine Heaton is 1861075764. It was assigned to this individual provider in the NPPES registry on April 29, 2021.
Where is Elaine Heaton located?
Elaine Heaton practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Elaine Heaton's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elaine Heaton enrolled in Medicare?
Yes. Elaine Heaton is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elaine Heaton was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Elaine Prendiville Heaton, MEDICAL STUDENT · NPI 1861075764
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1861075764 (Entity type: Individual)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861075764) · Data from the CMS NPPES public registry.