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NANCY KELLY JOHNSON MD
NPI 1861589681
Pediatrics in Portland, OR

Active since October 05, 2006
11790 SW BARNES RD STE 140, PORTLAND, OR 97225(503) 646-0161(503) 643-7459 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Kelly Johnson Md NPPES

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

NANCY KELLY JOHNSON MD (NPI 1861589681) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD17293) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861589681
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNANCY KELLY JOHNSONCredential: MD
Location Address11790 SW BARNES RD STE 140Portland, OR 97225-5938
Mailing Address11790 Sw Barnes Rd Ste 140Portland, OR 97225-5938 · (503) 643-2100 · Fax (503) 643-7459
Phone(503) 646-0161
Fax(503) 643-7459
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1861589681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD17293
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11790 SW BARNES RD STE 140, Portland, OR 97225
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Other Names 1

Former Name (1)Nancy Norwood Kelly

Other Identifiers 1

Medicaid058474OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 4

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

NW PEDIATRICS INTEGRATIVE MEDICINE LLC
Clinic/Center (Primary Care)
11790 SW BARNES RD STE 140
PORTLAND, OR 97225
Washington County (503) 643-2100
MS. SUZANNE CAROL EMERY ARNP
Nurse Practitioner (Family)
11790 SW BARNES RD STE 140
PORTLAND, OR 97225
Washington County (503) 643-2100
SHAUDINE WOODY CPNP-PC
Nurse Practitioner (Pediatrics)
11790 SW BARNES RD STE 140
PORTLAND, OR 97225
Washington County (503) 643-2100
GABRIEL JOSEPH FRANCETICH PA-C
Physician Assistant
11790 SW BARNES RD STE 140
PORTLAND, OR 97225
Washington County (503) 643-2100

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 Nancy Johnson's NPI number?

The NPI number for Nancy Johnson is 1861589681. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Nancy Norwood Kelly.

Where is Nancy Johnson located?

Nancy Johnson practices at 11790 SW Barnes Rd Ste 140, Portland, OR 97225. The listed phone number is (503) 646-0161.

What is Nancy Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Nancy Johnson accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nancy Johnson 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 Nancy Johnson was last updated on October 21, 2021. 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.