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CANARY YEN HOANG LY DNP, FNP-BC, RN
NPI 1871130419
Nurse Practitioner - Family in Portland, OR

Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 S BOND AVE FL 9, PORTLAND, OR 97239(503) 494-8573(503) 494-3457 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Jul 12, 2022, Jul 6, 2022 and 1 more (4 updates tracked since 2019).

About Canary Yen Hoang Ly Dnp, Fnp-bc, Rn NPPES

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

CANARY YEN HOANG LY DNP, FNP-BC, RN (NPI 1871130419) is an individual family provider in Portland, Oregon, licensed in Oregon (202205783NP-PP) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Massachusetts Medical School (2022).

NPPES Registry Identity

NPI1871130419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANARY YEN HOANG LYCredential: DNP, FNP-BC, RN
Location Address3303 S BOND AVE FL 9Portland, OR 97239-4501
Mailing Address3303 S Bond Ave Fl 9Portland, OR 97239-4501 · (503) 494-8573 · Fax (503) 494-3457
Phone(503) 494-8573
Fax(503) 494-3457
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2022
Enumeration DateDecember 2, 2019
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1871130419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202205783NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2337048 (MA), 202205726RN (OR)
3303 S BOND AVE FL 9, Portland, OR 97239
Open in Google Maps ↗

Other Identifiers 3

OtherRN2337048MA · Registered Nurse
Other202205726RNOR · Rn
Other202205783NP-PPOR · Np-pp Family

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Canary Yen Hoang Ly Dnp, Fnp-bc, Rn 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.

PECOS PAC ID5395120968
PECOS Enrollment IDI20220917000626
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Canary Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
0.6 mi
Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1316354970 (503) 494-4745
Know Allergy LLC
2.1 mi
Allergy
2275 W BURNSIDE ST
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1265034987 (503) 297-4779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

COURTNEY NALL MD
Family Medicine
3303 S BOND AVE FL 9
PORTLAND, OR 97239
Multnomah County (503) 494-8573
DR. LEVI AARON HARRIS DO
Family Medicine
3303 S BOND AVE FL 9
PORTLAND, OR 97239
Multnomah County (503) 494-4579
MARIAH RICHINS MD
Family Medicine
3303 S BOND AVE FL 9
PORTLAND, OR 97239
Multnomah County (503) 494-8573

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 Canary Ly's NPI number?

The NPI number for Canary Ly is 1871130419. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Canary Ly located?

Canary Ly practices at 3303 S Bond Ave Fl 9, Portland, OR 97239. The listed phone number is (503) 494-8573.

What is Canary Ly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Canary Ly enrolled in Medicare?

Yes. Canary Ly 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.

Which organizations bill Medicare for Canary Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Canary Ly reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Know Allergy LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Canary Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Canary Ly accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Canary Ly 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.

Is Canary Ly affiliated with any hospitals?

According to CMS data, Canary Ly is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Canary Ly was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.