Individual provider Active NPI

Lindsey Campbell Gustafson, FNP

  • Family Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1174064802
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201700303NP-PP Issued in OR
Practice address
13200 SW Pacific Hwy
Tigard, OR 97223-4828
Phone
(503) 598-2000
Fax
(503) 639-0920
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60741544 WA
Family Nurse Practitioner 363LF0000X 201700303NP-PP OR Primary

Addresses

Primary practice location

13200 SW Pacific Hwy
Tigard, OR 97223-4828

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other names 1

  • Lindsey Marshall Campbell Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111001383 OR Practitioner - Nurse Practitioner 3577818756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

1426 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201700303NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Apr 1, 2022 Accepting new patients
Praxis Health, PC Family CurrentSince Apr 1, 2022 Accepting new patients

Locations

4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171

1426 Oak St
Eugene, OR 97401
Phone (541) 431-0000

1488 Oak St
Eugene, OR 97401
Phone (541) 431-0000

4999 Skyline Rd S
Ste 100
Salem, OR 97306
Phone (503) 364-4005

13200 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 598-2000

Interoperability endpoints

  • Direct secure messaging: lcampbell@praxismedicalgroup.directbygreenway.com
  • Direct secure messaging: lcampbell@pfm.directbygreenway.com
  • Direct secure messaging: lcampbell@oakstreetmedical.directbygreenway.com
  • Direct secure messaging: lcampbell450271@direct.multicare.org
  • Direct secure messaging: lmcampbell@pacificmedicalgroup.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1174064802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234828",
            "telephone_number": "503-598-2000",
            "fax_number": "503-639-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "LINDSEY",
        "middle_name": "CAMPBELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60741544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201700303NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "CAMPBELL",
            "middle_name": "MARSHALL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.