Becky L Ahmed, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Hillsboro, OR
NPI 1164849865 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1164849865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 202201769NP-PP (OR)
- Practice address
- 364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253 - Phone
- (503) 640-3687
- Fax
- (503) 640-3688
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Professional Services
Practice addresses (Care Compare)
10000 SE Main St
Suite 350
Portland, OR 97216-2474
Phone (971) 262-9800
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Adventist Health Portland
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160613001670 | NH | Practitioner - Nurse Practitioner | 8820221096 | Reassigns benefits to 2 organizations |
| I20220627002165 | OR | Practitioner - Nurse Practitioner | 8820221096 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | CT | MD | Dentist |
| 113681 | CT | MD | Nurse Practitioner |
| 073384-23 | NH | MD | Nurse Practitioner |
| 202201769NP-PP | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| Mid-Columbia Medical Center | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
87 McGregor St
Manchester, NH 03102
Phone (603) 629-1828
87 McGregor St
Ste 4100
Manchester, NH 03102
Phone (603) 467-7333
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
364 SE 8th Ave
Ste 108A
Hillsboro, OR 97123
Phone (503) 540-3687
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
10000 SE Main St
Ste 350
Portland, OR 97216
Phone (503) 262-9800
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
Interoperability endpoints
- bahmed141372@direct.ohsu.edu
- banderson217929@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 073384-23 | NH | |
| Nurse Practitioner | 363L00000X | 113681 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 5683 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 202201769NP-PP | OR | Yes |
Addresses
Primary practice location
364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253
Mailing address
364 SE 8TH Ave Ste 108a
Hillsboro, OR 97123-4253
Phone (503) 640-3687
Other names
- Becky L Anderson
Other providers in Hillsboro, OR
- Agnieszka Helak MD PC
- Nereida Aguiar
- Kassandra Aguilar-Beltran
- Angela Trinidad Aguilar
- Lucia C Aguirre-Montana
- Ai-Zen LLC.
- Rachel Leah Aiello
- Jessica Jean Aikin
- Nicholas A Aimonetti
- Mary C. Ainsworth
All providers in Hillsboro, OR · Adult Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.