Active NPI
Merika Dolin Goldstein, FNP, MS
- Family Nurse Practitioner
- Cornelius, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201407083NP-PP
- Practice address
- 1151 N Adair St
Cornelius, OR 97113-8900 - Phone
- (503) 359-5564
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 615565 | NY | |
| Family Nurse Practitioner | 363LF0000X | 336772 | NY | |
| Family Nurse Practitioner | 363LF0000X | 201407083NP-PP | OR | Primary |
| Registered Nurse | 163W00000X | 201407082RN | OR |
Addresses
Primary practice location
1151 N Adair St
Cornelius, OR 97113-8900
Mailing address
1151 N Adair St
Cornelius, OR 97113-8900
Phone (503) 359-5564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526001362 | OR | Practitioner - Nurse Practitioner | 7618297045 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Garcia Memorial Health Center
Practice addresses (Care Compare)
2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000
Hospital & facility affiliations
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615565 | NY | MD | Registered Nurse |
| 201407082RN | OR | MD | Registered Nurse |
| 336772 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | Current | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
Interoperability endpoints
- mgoldstein145779@direct.ochin.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
OR
-
- Federally Qualified Health Center (FQHC)
- Willamina, OR
- NPI 1144578790
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1003253048
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1053859694
-
- Federally Qualified Health Center (FQHC)
- Newberg, OR
- NPI 1245661636
-
- Federally Qualified Health Center (FQHC)
- McMinnville, OR
- NPI 1295997575
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1568624849
-
- Federally Qualified Health Center (FQHC)
- Beaverton, OR
- NPI 1649772658
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1891431557
-
- Federally Qualified Health Center (FQHC)
- Beaverton, OR
- NPI 1902067861
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1013299775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N ADAIR ST",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971138900",
"telephone_number": "503-359-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N ADAIR ST",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971138900",
"telephone_number": "503-359-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MERIKA",
"middle_name": "DOLIN",
"credential": "FNP, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "615565",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336772",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201407083NP-PP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201407082RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.