Individual provider Active NPI

Denisa Gligan

  • Primary Care Nurse Practitioner
  • Portland, OR
National Provider Identifier
1013888320
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10050216 Issued in OR
Practice address
933 NW 25TH Ave
Portland, OR 97210-2829
Phone
(503) 525-0090
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10050216 OR Primary

Addresses

Primary practice location

933 NW 25TH Ave
Portland, OR 97210-2829

Mailing address

1921 19TH St
West Linn, OR 97068-4436
Phone (503) 360-5297

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
I20251028004627 OR Practitioner - Nurse Practitioner 8123517331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Health Center PCGroup PAC ID 0143287243, 7 clinicians

Practice addresses (Care Compare)

933 NW 25TH Ave
Portland, OR 97210-2829
Phone (503) 525-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10050216ORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Health Center,PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

721 NW 9th Ave
Ste 100
Portland, OR 97209
Phone (503) 345-9339

933 NW 25th Ave
Portland, OR 97210
Phone (503) 221-1870

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1013888320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 19TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684436",
            "telephone_number": "503-360-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "503-525-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIGAN",
        "first_name": "DENISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10050216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.