Individual provider Active NPI

Anup Mammen Varghese, ARNP

  • Family Nurse Practitioner
  • Happy Valley, OR
National Provider Identifier
1235822792
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10009021 Issued in OR
Practice address
9300 SE 91St Ave Ste 400
Happy Valley, OR 97086-3762
Phone
(503) 775-6500
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10009021 OR Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 400
Happy Valley, OR 97086-3762

Mailing address

4267 NW Diamondback Dr
Beaverton, OR 97006-7421
Phone (503) 329-1568

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
I20230712003847 OR Practitioner - Nurse Practitioner 2365802147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph P. Stapleton, MD PCGroup PAC ID 4385676493, 4 clinicians

Practice addresses (Care Compare)

9300 SE 91St Ave
Suite 400
Happy Valley, OR 97086-3762
Phone (503) 775-6500

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
81.27
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P Stapleton MD, PC CurrentSince Jun 28, 2023 Accepting new patients

Locations

1849 NE 106th Ave
Ste 201
Hillsboro, OR 97006
Phone (503) 406-9859

9300 SE 91st Ave
Ste 400
Portland, OR 97086
Phone (503) 775-6500

9200 SE 91st Ave
Ste 100
Portland, OR 97086
Phone (503) 722-6160

Organizations & group practices 1

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1235822792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 NW DIAMONDBACK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067421",
            "telephone_number": "503-329-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 400",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-775-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "ANUP",
        "middle_name": "MAMMEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.