Individual provider Active NPI

April Katelle Withers, APRN

  • Nurse Practitioner
  • Portland, OR
National Provider Identifier
1215512538
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-79981-041 Issued in KS
Practice address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone
(971) 202-5500
Fax
(971) 202-5555
NPI assigned
Mar 17, 2021
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-79981-041 KS Primary

Addresses

Primary practice location

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

Mailing address

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5500

Other practice location 1

345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone (316) 616-1055

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
I20240426000660 OR Practitioner - Nurse Practitioner 3274942115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecall Providers PCGroup PAC ID 7113297789, 23 clinicians

Practice addresses (Care Compare)

5100 S Macadam Ave
Suite 200
Portland, OR 97239-3827
Phone (971) 202-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79981-041KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Doc Oregon, PC CurrentSince Oct 7, 2024 Accepting new patients
J M Geiss DO Apc CurrentSince Oct 7, 2024 Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

1008 SW 4th Ave
#1
Ontario, OR 97914
Phone (657) 428-3299

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1215512538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        },
        {
            "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": "971-202-5500",
            "fax_number": "971-202-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 N Riverview St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672034265",
            "country_code": "US",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "APRIL",
        "middle_name": "KATELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79981-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.