Active NPI
Nancy J Heisel, MD
- Internal Medicine Physician
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD171272
- Practice address
- 18010 SW McEwan Rd
Lake Oswego, OR 97035-7868 - Phone
- (503) 525-7500
- NPI assigned
- Jan 23, 2007
- Last updated
- Jan 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD171272 | OR | Primary |
| Internal Medicine Physician | 207R00000X | 218217 | AK |
Addresses
Primary practice location
18010 SW McEwan Rd
Lake Oswego, OR 97035-7868
Mailing address
5810 SW Luradel CT
Portland, OR 97219-5780
Phone (503) 308-0654
Other practice location 1
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218217 | AK | MD | Internal Medicine Physician |
| MD171272 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Mulnomah County | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Landmark Health of Oregon LLC | Past | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
18010 SW McEwan Rd
Lake Oswego, OR 97035
Phone (503) 525-7500
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
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
Portland, OR 97209
Phone (503) 988-3674
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Multnomah County Health Dept, North Portland
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
dba Adventist Health Tillamook
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
dba Multnomah County Health Department FQHC
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1649339581
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
-
dba Adventist Health Medical Office - Sheridan
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
dba Adventist Health Tillamook Medical Group Estacada
- Rural Health Clinic/Center
- Estacada, OR
- NPI 1609328301
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1134274129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 SW LURADEL CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195780",
"telephone_number": "503-308-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18010 SW MCEWAN RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357868",
"telephone_number": "503-525-7500"
}
],
"practiceLocations": [
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-228-8300",
"fax_number": "907-228-8440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEISEL",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD171272",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "218217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.