ELIZABETH MARIE PORTELANCE RD, RN, AG-ACNP-BC
NPI 1962807917
Nurse Practitioner - Acute Care in Portland, OR

Active since November 01, 2014PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 SW BOND AVE, CH8N, PORTLAND, OR 97239(503) 494-4314(503) 346-6810 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 12, 2017 (2 updates tracked since 2017).

About Elizabeth Marie Portelance Rd, Rn, Ag-acnp-bc NPPES

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

ELIZABETH MARIE PORTELANCE RD, RN, AG-ACNP-BC (NPI 1962807917) is an individual acute care provider in Portland, Oregon, licensed in Oregon (201501606NP-PP) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962807917
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH MARIE PORTELANCECredential: RD, RN, AG-ACNP-BC
Location Address3303 SW BOND AVE, CH8NPortland, OR 97239
Mailing Address3303 Sw Bond Ave., Ch8nPortland, OR 97239 · (503) 494-4314 · Fax (503) 346-6810
Fax(503) 346-6810
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 1, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1962807917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in OR · 201501606NP-PP Licensed in TN · 19334 Licensed in WA · AP60551124
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60551124 (WA)
3303 SW BOND AVE, Portland, OR 97239

Other Names 1

Former Name (1)Elizabeth Marie Sullivan

Other Identifiers 1

Medicaid1962807917WA

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 and accepts Medicare assignment

Elizabeth Marie Portelance Rd, Rn, Ag-acnp-bc 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 ID1850600743
PECOS Enrollment IDI20171103002328
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.

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 20

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

Dermatology
3303 SW BOND AVE
PORTLAND, OR 97239
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3303 SW BOND AVE
PORTLAND, OR 97239
Physical Therapist (Neurology)
3303 SW BOND AVE
PORTLAND, OR 97239
Nurse Practitioner (Family)
3303 SW BOND AVE
PORTLAND, OR 97239
Registered Nurse (Ambulatory Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Internal Medicine (Medical Oncology)
3303 SW BOND AVE, 7TH FLOOR
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Ophthalmology (Glaucoma Specialist)
3303 SW BOND AVE
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 Elizabeth Portelance's NPI number?

The NPI number for Elizabeth Portelance is 1962807917. It was assigned to this individual provider in the NPPES registry on November 1, 2014. The provider is also known as Elizabeth Marie Sullivan.

Where is Elizabeth Portelance located?

Elizabeth Portelance practices at 3303 SW Bond Ave Ch8n, Portland, OR 97239. The listed phone number is (503) 494-4314.

What is Elizabeth Portelance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Elizabeth Portelance enrolled in Medicare?

Yes. Elizabeth Portelance 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.

What insurance does Elizabeth Portelance accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Elizabeth Portelance 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 Elizabeth Portelance affiliated with any hospitals?

According to CMS data, Elizabeth Portelance is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Elizabeth Portelance was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.