Tina M Barber, APN
Individual provider Active NPI Nurse Practitioner · Hillsboro, OR
NPI 1023078367 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1023078367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209001414 (IL)
- Practice address
- 19075 NW Tanasbourne Dr
Suit 200
Hillsboro, OR 97124-5860 - Phone
- (503) 684-8252
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Health System
CGH Medical Center
Peacehealth Networks on Demand LLC
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
1321 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 284-1600
1909 Queen Anne Ave N
Seattle, WA 98109-2549
Phone (864) 664-3984
2711 NE Town Ctr Dr
Hillsboro, OR 97006-8951
Phone (864) 664-3984
375 N Wall St
P520
Kankakee, IL 60901-3493
Phone (815) 933-0194
400 S Kennedy Dr
Suite 200
Bradley, IL 60915-2686
Phone (815) 933-0007
5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100
Hospital & facility affiliations
- CGH Medical Center
- Riverside Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041013000926 | IL | Practitioner - Nurse Practitioner | 9830159953 | Reassigns benefits to 2 organizations |
| I20171028000424 | OR | Practitioner - Nurse Practitioner | 9830159953 | Reassigns benefits to 1 organization |
| I20240827004362 | WA | Practitioner - Nurse Practitioner | 9830159953 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current |
Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| Riverside Health System | Current |
Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Riverside Health System | Current |
Accepting new patients | |
| Zoomcare Urgent Care LLC | Past |
Accepting new patients | |
| Zoomcare PC | Past |
Accepting new patients |
Locations
1321 N Galena Ave
Dixon, IL 61021
Phone (815) 284-1600
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
15 W 3rd St
Sterling, IL 61081
Phone (815) 564-1999
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
2711 NE Town Center Dr
Hillsboro, OR 97006
2990 Commercial St SE
Ste 160
Salem, OR 97302
10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151
19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036
1909 Queen Anne Ave N
Seattle, WA 98109
Interoperability endpoints
- tbarber34159@cghmc.direct-ci.com
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209001414 | IL | Yes |
Addresses
Primary practice location
19075 NW Tanasbourne Dr
Suit 200
Hillsboro, OR 97124-5860
Mailing address
19075 NW Tanasbourne Dr
Suit 200
Hillsboro, OR 97124-5860
Phone (503) 684-8252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309000908 | Other | CONT SUBS | |
| 041270724 | Other | RN | |
| 209001414 | Other | APN |
Other providers in Hillsboro, OR
- Shilpi Banerjee
- Brandon B Bang
- Nathaniel Nazareno Baniqued
- Jillian Banks
- Swechya Banskota
- Deborah Danae Barbis
- Kailey Jane Barfield
- Daniel Tariq Barghouti
- Tariq Barghouti
- Jenna Barnavon
All providers in Hillsboro, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.