Active NPI
Nancy Denise Schwarzkopf
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201801253NP-PP
- Practice address
- 2020 SE 182ND Ave
Portland, OR 97233-5692 - Phone
- (503) 988-5400
- Fax
- (503) 988-5668
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N13284 | ID | |
| Family Nurse Practitioner | 363LF0000X | AP60030458 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201801253NP-PP | OR | Primary |
Addresses
Primary practice location
2020 SE 182ND Ave
Portland, OR 97233-5692
Mailing address
619 SW 6TH Ave.
5TH FL
Portland, OR 97209-2605
Phone (503) 988-7468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR |
Other names 1
- Nancy Denise Shepherd
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 NE 8TH St
Gresham, OR 97030-7317
Phone (503) 988-7468
619 NW 6TH Ave
Suite 300
Portland, OR 97209-3964
Phone (503) 988-7468
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N13284 | ID | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
2020 SE 182nd Ave
Portland, OR 97233
Phone (503) 661-3439
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674
619 NW 6th Ave
Ste 300
Portland, OR 97209
Phone (503) 988-5020
Interoperability endpoints
- nschwarzkopf307225@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Multnomah County Health Dept, North Portland
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
dba Multnomah County Health Dept, Southeast
- State or Local Public Health Clinic/Center
- Portland, OR
- NPI 1720126816
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
dba Adventist Health Portland
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1073773396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 SW 6TH AVE.",
"address_2": "5TH FL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092605",
"telephone_number": "503-988-7468",
"fax_number": "509-454-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335692",
"telephone_number": "503-988-5400",
"fax_number": "503-988-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARZKOPF",
"first_name": "NANCY",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N13284",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60030458",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201801253NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SHEPHERD",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.