Individual provider Active NPI

Edward Middleton Tilghman Jr., MS, FNP, RN

  • Family Nurse Practitioner
  • Hood River, OR
National Provider Identifier
1265917173
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009733 Issued in CA
Practice address
849 Pacific Ave
Hood River, OR 97031-1956
Phone
(541) 386-6380
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95099663 CA
Family Nurse Practitioner 363LF0000X 95009733 CA Primary

Addresses

Primary practice location

849 Pacific Ave
Hood River, OR 97031-1956

Mailing address

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190125002024 CA Practitioner - Nurse Practitioner 3173860376 Reassigns benefits to 1 organization
I20201209003239 OR Practitioner - Nurse Practitioner 3173860376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

1010 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Oct 15, 2018 Accepting new patients
Lifelong Medical Care CurrentSince Oct 15, 2018 Accepting new patients
One Community Health CurrentSince Jul 27, 2021 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Nov 15, 2020 Accepting new patients
One Community Health CurrentSince Jul 27, 2021 Accepting new patients
Mid-Columbia Medical Center CurrentSince Nov 15, 2020 Accepting new patients
Mid-Columbia Medical Center Family Past Accepting new patients

Locations

2031 6th St
Berkeley, CA 94710
Phone (510) 981-4200

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1040 Webber St
The Dalles, OR 97058
Phone (541) 296-4610

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1265917173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "EDWARD",
        "middle_name": "MIDDLETON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, FNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95099663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.