Active NPI
Deanna Lynn Schlegel, NP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202211370NP-PP
- Practice address
- 703 NE Hancock St
Portland, OR 97212-3955 - Phone
- (503) 230-9875
- Fax
- (503) 230-9877
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61448020 | WA | |
| Registered Nurse | 163W00000X | 095000483RN | OR | |
| Nurse Practitioner | 363L00000X | AP61448023 | WA | |
| Family Nurse Practitioner | 363LF0000X | 202211370NP-PP | OR | Primary |
Addresses
Primary practice location
703 NE Hancock St
Portland, OR 97212-3955
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other practice location 1
12360 E Burnside St
Portland, OR 97233-1042
Phone (971) 279-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500810800 | Medicaid | OR | |
| 2246370 | Medicaid | WA |
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
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
689 NW Burnside Rd
Gresham, OR 97030-3739
Phone (503) 382-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095000483RN | OR | MD | Registered Nurse |
| RN61448020 | WA | MD | Registered Nurse |
| AP61448023 | WA | MD | Nurse Practitioner |
| 202211370NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Columbia Pain and Spine Institute | Current | Accepting new patients |
Locations
689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100
12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800
703 NE Hancock St
Portland, OR 97212
Phone (503) 230-9875
1776 SW Madison St
Portland, OR 97205
Phone (503) 224-1044
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gresham, OR
- NPI 1972813962
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1396734364
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1942747761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1245966597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 NE HANCOCK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123955",
"telephone_number": "503-230-9875",
"fax_number": "503-230-9877"
}
],
"practiceLocations": [
{
"address_1": "12360 E Burnside St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972331042",
"country_code": "US",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLEGEL",
"first_name": "DEANNA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61448020",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "095000483RN",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61448023",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202211370NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500810800",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2246370",
"state": "WA"
}
],
"endpoints": [],
"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 Dec 20, 2024; 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.