Active NPI
Abigail Peters Ritter, PA-C
- Physician Assistant
- Portland, OR
National Provider Identifier
1225424088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA180329
- Practice address
- 300 N Graham St Ste 125
Portland, OR 97227 - Phone
- (503) 413-3714
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA180329 | OR | |
| Physician Assistant | 363A00000X | PA180329 | OR | Primary |
Addresses
Primary practice location
300 N Graham St Ste 125
Portland, OR 97227
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other practice location 1
501 N Graham St Ste 580
Portland, OR 97227-2003
Phone (503) 528-0704
Other practice location 2
501 N Graham St Ste 580
Portland, OR 97227-2003
Phone (503) 528-0704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500723830 | Medicaid | OR |
Other names 1
- Abigail Peters
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-1122
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA180329 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Silverton Health | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
300 N Graham St
Ste 125
Portland, OR 97227
Phone (503) 413-3714
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Rural Health Clinic/Center
- Woodburn, OR
- NPI 1679686463
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 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225424088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N GRAHAM ST STE 125",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-413-3714"
}
],
"practiceLocations": [
{
"address_1": "501 N Graham St Ste 580",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972272003",
"country_code": "US",
"telephone_number": "503-528-0704",
"fax_number": "503-528-0708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Graham St Ste 580",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972272003",
"country_code": "US",
"telephone_number": "503-528-0704",
"fax_number": "503-528-0708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RITTER",
"first_name": "ABIGAIL",
"middle_name": "PETERS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA180329",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA180329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500723830",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "PETERS",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 21, 2022; 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.