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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (1,683 clinicians)

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 Hospital · Portland, OR · CCN 380009
  • Adventist Health Portland Hospital · Portland, OR · CCN 380060

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5683CTMDDentist
113681CTMDNurse Practitioner
073384-23NHMDNurse Practitioner
202201769NP-PPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mary Hitchcock Memorial Hospital Current
since Apr 25, 2016
Accepting new patients
Mary Hitchcock Memorial Hospital Current
since Apr 25, 2016
Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services Current
since Jun 6, 2022
Accepting new patients
University Professional Services Current
since Jun 6, 2022
Accepting new patients
Mid-Columbia Medical Center Current
since Jun 1, 2023
Accepting new patients
Dartmouth-Hitchcock Clinic Current
since Apr 25, 2016
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

  • Direct secure messaging: bahmed141372@direct.ohsu.edu
  • Direct secure messaging: banderson217929@direct.dartmouth-hitchcock.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Other providers in Hillsboro, OR

All providers in Hillsboro, OR · Adult Health Nurse Practitioner in Oregon

Sources for this page

Verify at the official NPI Registry.