Individual provider Active NPI

Michele Patricia Megregian, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1043206279
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
200850062NP Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Kpv7C
Portland, OR 97239-3011
Phone
(503) 418-4500
NPI assigned
Sep 22, 2005
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209-001428 IL
Advanced Practice Midwife 367A00000X 200850062NP OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Kpv7C
Portland, OR 97239-3011

Mailing address

3415 SE 8TH Ave
Portland, OR 97202-2708
Phone (847) 826-5467

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000633 OR Practitioner - Certified Nurse Midwife (CNM) 2769536036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209-001428ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Sep 1, 2009 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 9, 2020 Accepting new patients
University Professional Services Current Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 9, 2020 Accepting new patients
University Professional Services CurrentSince Sep 1, 2009 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#7C
Portland, OR 97239
Phone (503) 418-4500

Interoperability endpoints

  • Direct secure messaging: mmegregiancnm35655@direct.ohsu.edu

Organizations & group practices 5

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1043206279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022708",
            "telephone_number": "847-826-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "KPV7C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGREGIAN",
        "first_name": "MICHELE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209-001428",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200850062NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.