Individual provider Active NPI

Lucy Rideout, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1073053351
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10007710 Issued in OR
Practice address
4816 NW Bethany Blvd
Portland, OR 97229-9254
Phone
(888) 227-3312
Fax
(971) 282-0100
NPI assigned
Mar 6, 2017
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10007710 OR Primary
Registered Nurse 163W00000X 201605242RN OR

Addresses

Primary practice location

4816 NW Bethany Blvd
Portland, OR 97229-9254

Mailing address

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

Other practice location 1

10330 SE 32nd Ave
110
Milwaukie, OR 97222-6587
Phone (347) 721-8101

Other practice location 2

4400 NE Halsey St Ste 200
Portland, OR 97213-1545
Phone (503) 215-6556

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
I20230608001217 OR Practitioner - Nurse Practitioner 4587021480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians

Practice addresses (Care Compare)

13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
92.1
Improvement activities
40
Cost
80.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Olsen MD Washington PC CurrentSince Sep 13, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2023 Accepting new patients
Robert Olsen MD LLC CurrentSince Sep 13, 2025 Accepting new patients

Locations

1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006

250 NW Franklin Ave
Ste 204
Bend, OR 97703

9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015

1400 Executive Pkwy
Ste 250
Eugene, OR 97401

13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018

1547 NE 40th Ave
Portland, OR 97232
Phone (503) 281-6535

1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197

833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756

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, 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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1073053351",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 NW BETHANY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299254",
            "telephone_number": "888-227-3312",
            "fax_number": "971-282-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 SE 32nd Ave",
            "address_2": "110",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226587",
            "country_code": "US",
            "telephone_number": "347-721-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 NE Halsey St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131545",
            "country_code": "US",
            "telephone_number": "503-215-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "LUCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10007710",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201605242RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.