Individual provider Active NPI

Nicholas K Sweet, PA

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1013375567
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA210116 Issued in OR
Practice address
9555 SW Barnes Rd Ste 201
Portland, OR 97225-6654
Phone
(971) 478-1842
Fax
(971) 478-1841
NPI assigned
Jan 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20953 OR
Physician Assistant 363A00000X PA210116 OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 201
Portland, OR 97225-6654

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other practice location 1

10060 NE Evergreen Pkwy
Hillsboro, OR 97124-6448
Phone (800) 813-2000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929003459 OR Practitioner - Physician Assistant 9032586029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

2450 SW Perkins Ave
Pendleton, OR 97801-4302
Phone (541) 276-1700

2460 SW Perkins Ave
Pendleton, OR 97801-4302

4510 SW Hall Blvd
Beaverton, OR 97005-0504
Phone (503) 644-1171

9555 SW Barnes Rd
Suite 201
Portland, OR 97225-6654
Phone (971) 478-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20953ORMDMassage Therapist
PA210116ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Sep 23, 2025 Accepting new patients
Praxis Health, PC CurrentSince Sep 23, 2025 Accepting new patients
Bridgeport Family Medicine LLC PastSince Aug 1, 2022 Accepting new patients
Marcotte Studio One Massage Therapist Past Accepting new patients

Locations

4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171

6445 N Greeley Ave
Portland, OR 97217
Phone (503) 283-6607

9555 SW Barnes Rd
Ste 201
Portland, OR 97225
Phone (503) 227-2020

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013375567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256654",
            "telephone_number": "971-478-1842",
            "fax_number": "971-478-1841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10060 NE Evergreen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971246448",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA210116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.