Active NPI
Theresa McSherry, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201701536NP-PP
- Practice address
- 501 N Graham St Ste 555
Portland, OR 97227-2007 - Phone
- (503) 288-7535
- Fax
- (503) 288-7538
- NPI assigned
- Apr 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201701536NP-PP | OR | Primary |
Addresses
Primary practice location
501 N Graham St Ste 555
Portland, OR 97227-2007
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076130 | Medicaid | WA | |
| 500722007 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referringsbs@1243.direct.myezyaccess.com | The Oregon Clinic PC |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 N Graham St
Suite 555
Portland, OR 97227-2007
Phone (503) 288-7535
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
Hospital & facility affiliations
- Providence Home Health
- Legacy Emanuel Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201701536NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Current | Accepting new patients | |
| The Oregon Clinic, PC | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients |
Locations
847 NE 19th Ave
Ste 300
Portland, OR 97232
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
501 N Graham St
Ste 555
Portland, OR 97227
Phone (503) 288-7535
8081 Royal Ridge Pkwy
Ste 130
Irving, TX 75063
Phone (844) 870-6689
Interoperability endpoints
- tmcsherry3166825@oc.providencedirect.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.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1093169583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 555",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272007",
"telephone_number": "503-288-7535",
"fax_number": "503-288-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSHERRY",
"first_name": "THERESA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201701536NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076130",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500722007",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referringsbs@1243.direct.myezyaccess.com",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "501 N Graham St Ste 555",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972272007",
"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 Dec 5, 2023; 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.