Individual provider Active NPI

Caroline Maroten Olney, NP

  • Adult Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1174898795
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
201901141NP Issued in OR
Practice address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone
(415) 596-3567
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 17475 CA
Adult Health Nurse Practitioner 363LA2200X 201901141NP OR Primary
Medical-Surgical Registered Nurse 163WM0705X 641291 CA

Addresses

Primary practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Mailing address

1301 Delaware St
Berkeley, CA 94702-1408
Phone (415) 596-3567

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
I20200129001025 OR Practitioner - Nurse Practitioner 1951525039 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
641291CAMDMedical-Surgical Registered Nurse
17475CAMDAdult Health Nurse Practitioner
201901141NPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2020 Accepting new patients
Housecall Providers, PC CurrentSince May 1, 2025 Accepting new patients

Locations

5100 S Macadam Ave
Ste 200
Portland, OR 97239
Phone (971) 202-5500

1235 NE 47th Ave
Ste 148
Portland, OR 97213
Phone (503) 215-4601

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

Organizations & group practices 4

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1174898795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 DELAWARE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021408",
            "telephone_number": "415-596-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "415-596-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLNEY",
        "first_name": "CAROLINE",
        "middle_name": "MAROTEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "17475",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201901141NP",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "641291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.