Ivy Seaburg, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202107614NP-PP Issued in OR

Practice address

535 NE 6TH Ave
Estacada, OR 97023-9312

Phone

(503) 630-8550

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

No

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.

• Orchid Oakridge Clinic, P.C.

  • Rural Health Clinic/Center
  • Oakridge, OR
  • NPI 1588088983

  OR

  Medicare reassignment Care Compare group NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787

  OR

  Medicare reassignment NPD
• Orchid Oakridge Clinic, P.C.

  • Rural Health Clinic/Center
  • Estacada, OR
  • NPI 1578917076
  Care Compare group
• Orchid Oakridge Clinic, PC

  • Family Medicine Physician
  • Sandy, OR
  • NPI 1417098773
  Care Compare group
• Orchid Oakridge Clinic, PC

  • Primary Care Clinic/Center
  • Elmira, OR
  • NPI 1881274348
  Care Compare group
• Mulnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1649339581
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1518005693
  NPD (past)

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

• Legacy Mount Hood Medical Center

  • General Acute Care Hospital
  • Gresham, OR
  • NPI 1255354700

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  • Land Ambulance
  • Tillamook, OR
  • NPI 1508849407

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1699146159

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  • Rural Health Clinic/Center
  • Tillamook, OR
  • NPI 1841451853

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225

  Hospital

  Care Compare affiliation
• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658

  Hospital

  Care Compare affiliation
• Providence Health & Services - Oregon

  • Clinic/Center
  • Portland, OR
  • NPI 1326272741

  Hospital

  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Oregon City, OR
  • NPI 1912282369

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orchid Oakridge Clinic PC 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
• Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
• Adventist Health Portland Hospital, Portland, OR, CCN 380060
• Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivy.seaburg.1@31614.direct.athenahealth.com

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1235802117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE 6TH AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239312",
            "telephone_number": "503-630-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE 8th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307318",
            "country_code": "US",
            "telephone_number": "503-988-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24934 Fir Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "OR",
            "postal_code": "974379751",
            "country_code": "US",
            "telephone_number": "541-234-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABURG",
        "first_name": "IVY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202107614NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500796235",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lea Premazzi, ND
• Edward Lawrence Rambousek, D.O.
• Jonathan Rhue, D.C.
• Justin Rye
• Kelly Joanne Salusova, MS, LPC
• Dana Rae Shibley, LDEM
• Monica Adrian Skordilis, M.D.
• Erin Caassidy Stanton
• Shileigha Dailease Stephenson, LMT, LMP
• Still Waters Counseling

• All providers in Estacada, OR
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.