Active NPI
Zackery David Nance, DPM
- Podiatrist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP167551
- Practice address
- 5050 NE Hoyt St Ste 223
Portland, OR 97213-2980 - Phone
- (503) 963-2964
- Fax
- (503) 963-2966
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006300 | PA | |
| Podiatrist | 213E00000X | DP167551 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St Ste 223
Portland, OR 97213-2980
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other practice location 1
4212 NE Broadway Ste 101
Portland, OR 97213-1422
Phone (503) 963-2964
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194012989 | Medicaid | WA | |
| 500670855 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_podiatry_plaza_front_desk_pool12223249@oc.providencedirect.org | The Oregon Clinic PC |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 NE 99TH Ave
Portland, OR 97220-9442
4212 NE Broadway
Portland, OR 97213-1422
Phone (503) 249-8787
4805 NE Glisan
Portland, OR 97213-2933
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
5050 NE Hoyt St
Suite 223
Portland, OR 97213-2980
Phone (503) 963-2964
Hospital & facility affiliations
- Providence Portland Medical Center
- Providence Willamette Falls Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 99 |
| Removal of nail tissue | 346 |
| Removal or shaving of skin growth | 169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006300 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Current | Accepting new patients | |
| The Oregon Clinic, PC | Current | Accepting new patients |
Locations
5050 NE Hoyt St
Ste 428
Portland, OR 97213
Phone (503) 231-3355
5050 NE Hoyt St
Ste 223
Portland, OR 97213
Phone (503) 230-3603
541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
847 NE 19th Ave
Ste 300
Portland, OR 97232
4212 NE Broadway
Ste 101
Portland, OR 97213
Phone (503) 963-2964
Interoperability endpoints
- znance447784@oc.providencedirect.org
- cc_otoc_podiatry_plaza_front_desk_pool12223249@oc.providencedirect.org
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.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1194012989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 223",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132980",
"telephone_number": "503-963-2964",
"fax_number": "503-963-2966"
}
],
"practiceLocations": [
{
"address_1": "4212 NE Broadway Ste 101",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972131422",
"country_code": "US",
"telephone_number": "503-963-2964",
"fax_number": "503-963-2966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANCE",
"first_name": "ZACKERY",
"middle_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006300",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP167551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194012989",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500670855",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cc_otoc_podiatry_plaza_front_desk_pool12223249@oc.providencedirect.org",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "5050 NE Hoyt St Ste 223",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.