Individual provider Active NPI

Lynn E Osmundsen, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Vancouver, WA
National Provider Identifier
1265409916
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD17370 Issued in OR
Practice address
1498 SE Tech Center PL
Suite 100
Vancouver, WA 98683-9591
Phone
(360) 693-7878
Fax
(360) 892-5724
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD00031915 WA
Specialist 174400000X 31915 WA
Obstetrics & Gynecology Physician 207V00000X MD17370 OR
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD17370 OR Primary

Addresses

Primary practice location

1498 SE Tech Center PL
Suite 100
Vancouver, WA 98683-9591

Mailing address

1498 SE Tech Center PL
Suite 100
Vancouver, WA 98683-9591
Phone (360) 693-7878

Other identifiers 1

IdentifierTypeStateIssuer
1088665MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050112000258 WA Practitioner - Other (Physician)Practitioner - Obstetrics/Gynecology 4587561618 Reassigns benefits to 1 organization
I20050128000734 OR Practitioner - Other (Physician)Practitioner - Obstetrics/Gynecology 4587561618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31915WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aethena Gynecology Associates, P.S. CurrentSince Sep 1, 2015 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 6, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince May 1, 2016 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Dec 6, 2016 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

1498 SE Tech Center Pl
Vancouver, WA 98683
Phone (360) 260-0235

1498 SE Tech Center Pl
Ste 100
Vancouver, WA 98683
Phone (360) 693-7878

2121 NE 139th St
Ste 430
Vancouver, WA 98686
Phone (360) 487-1414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3276/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1265409916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-693-7878",
            "fax_number": "360-892-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-693-7878",
            "fax_number": "360-892-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMUNDSEN",
        "first_name": "LYNN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WA",
            "license": "MD00031915",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "31915",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD17370",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OR",
            "license": "MD17370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1088665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.