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EMILY GRACE DOUGLASS FERNANDO PNP
NPI 1982304630
Nurse Practitioner - Pediatrics in Portland, OR

Active since March 09, 2023PECOS Enrolled
830 NE 47TH AVE, PORTLAND, OR 97213(503) 216-2339 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Mar 8, 2024, Jun 8, 2023 and 1 more (4 updates tracked since 2023).

About Emily Grace Douglass Fernando Pnp NPPES

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

EMILY GRACE DOUGLASS FERNANDO PNP (NPI 1982304630) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (10000858) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982304630
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEMILY GRACE DOUGLASS FERNANDOCredential: PNP
Location Address830 NE 47TH AVEPortland, OR 97213-2212
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-2339
Sole ProprietorNo
Enumeration DateMarch 9, 2023
Last NPPES UpdateFebruary 14, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1982304630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 10000858
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 10000858 (OR)
830 NE 47TH AVE, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Former Name (1)Emily G Douglass Pnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Emily Grace Douglass Fernando Pnp 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 97213 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 20

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

MORGAN S CASH OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
ELIN BISHOP SLPA
Specialist/Technologist (Speech-Language Assistant)
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-0719
CAROL LIPSON CRISWELL
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
CARA LEE OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
RENY EMMALINE FERRARI SLP
Speech-Language Pathologist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
MANDY MORAN
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
DR. MICHELE RADDISH MD
Pediatrics (Developmental - Behavioral Pediatrics)
830 NE 47TH AVE, PROVIDENCE NEURODEVELOPMENTAL CENTER FOR CHILDREN
PORTLAND, OR 97213
Multnomah County (503) 216-2339
PROVIDENCE HEALTH & SERVICES-OREGON
Clinic/Center (Dental)
830 NE 47TH AVE, ATTN: DENTAL CLINIC
PORTLAND, OR 97213
Multnomah County (503) 215-2400

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 Emily Fernando's NPI number?

The NPI number for Emily Fernando is 1982304630. It was assigned to this individual provider in the NPPES registry on March 9, 2023. The provider is also known as Emily G Douglass Pnp.

Where is Emily Fernando located?

Emily Fernando practices at 830 NE 47th Ave, Portland, OR 97213. The listed phone number is (503) 216-2339.

What is Emily Fernando's specialty?

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

Is Emily Fernando enrolled in Medicare?

Yes. Emily Fernando is registered in the Medicare PECOS enrollment system.

What insurance does Emily Fernando accept?

Health plans from Providence Health Plan list Emily Fernando 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 Emily Fernando was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.