Individual provider Active NPI

Robyn Elizabeth Nash

  • Physician Assistant
  • Vancouver, WA
National Provider Identifier
1043614167
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA174022 Issued in OR
Practice address
1905 SE 164TH Ave
Vancouver, WA 98683-8937
Phone
(888) 227-3312
Fax
(360) 216-4422
NPI assigned
Oct 17, 2014
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA174022 OR Primary

Addresses

Primary practice location

1905 SE 164TH Ave
Vancouver, WA 98683-8937

Mailing address

PO Box 2928
Portland, OR 97208-2928
Phone (425) 207-5155

Other practice location 1

812 SE 136th Ave
Unit #L126
Vancouver, WA 98683-6943
Phone (626) 475-9047

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnash517146@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151102001489 OR Practitioner - Physician Assistant 0244540359 Reassigns benefits to 3 organizations
I20171218003117 WA Practitioner - Physician Assistant 0244540359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

1025 NW 14TH Ave
Portland, OR 97209-2705
Phone (888) 227-3312

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124-5408
Phone (888) 227-3312

1350 Marvin Rd NE
Suite D
Lacey, WA 98516-3877
Phone (888) 227-3312

3822 SE Powell Blvd
Portland, OR 97202-1720
Phone (888) 227-3312

4340 N Interstate Ave
Portland, OR 97217-3211
Phone (888) 227-3312

718 91St Ave NE
Lake Stevens, WA 98258-2420
Phone (888) 227-3312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA174022ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 2, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 2, 2015 Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124

5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1840 E Portland Rd
Newberg, OR 97132
Phone (503) 538-9360

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

14617 SE McLoughlin Blvd
Portland, OR 97267
Phone (503) 652-4047

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

5330 NE Glisan St
Ste 100
Portland, OR 97213
Phone (503) 215-9700

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

1905 SE 164th Ave
Vancouver, WA 98683
Phone (360) 836-3396

Organizations & group practices 8

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1043614167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2928",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082928",
            "telephone_number": "425-207-5155",
            "fax_number": "360-216-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SE 164TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838937",
            "telephone_number": "888-227-3312",
            "fax_number": "360-216-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 SE 136th Ave",
            "address_2": "Unit #L126",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986836943",
            "country_code": "US",
            "telephone_number": "626-475-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "ROBYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA174022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnash517146@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5050 NE Hoyt St Ste 454",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.