Active NPI
Nikolas Anthony Ross, CNM
- Advanced Practice Midwife
- Portland, OR
National Provider Identifier
1083321319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10047728
- Practice address
- 3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112 - Phone
- (503) 775-2269
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- 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 | 202215053RN | OR | |
| Advanced Practice Midwife | 367A00000X | ARNP.AP.70032957-CNM | WA | |
| Advanced Practice Midwife | 367A00000X | 10047728 | OR | Primary |
Addresses
Primary practice location
3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Mailing address
3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone (503) 775-2269
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rossni@ohsu.edu | Direct | OHSU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202215053RN | OR | MD | Registered Nurse |
| 10047728 | OR | MD | Advanced Practice Midwife |
| ARNP.AP.70032957-CNM | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755907200000",
"number": "1083321319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121112",
"telephone_number": "503-775-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121112",
"telephone_number": "503-775-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "NIKOLAS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2025-08-23",
"certification_date": "2025-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202215053RN",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "ARNP.AP.70032957-CNM",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10047728",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rossni@ohsu.edu",
"affiliation": "Y",
"endpointDescription": "rossni@ohsu.edu",
"affiliationName": "OHSU",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3181 SW Sam Jackson Park Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972393011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Aug 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.