Individual provider Active NPI

Rachel Cosgrove, APRN, NP-C

  • Family Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1295492924
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202108403NP-PP Issued in OR
Practice address
8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489
Phone
(503) 714-8987
NPI assigned
Nov 17, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 202108403NP-PP OR Primary

Addresses

Primary practice location

8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489

Mailing address

8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489
Phone (503) 714-8987

Other names 1

  • Rachel Michelle Seibert Former name

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
I20211222000795 OR Practitioner - Nurse Practitioner 6406247758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth-Oregon PCGroup PAC ID 9133458243, 10 clinicians

Practice addresses (Care Compare)

205 SE Spokane St
Suite 300
Portland, OR 97202-6487
Phone (503) 714-8987

8060 SW Pfaffle St
Suite 102
Tigard, OR 97223-8489
Phone (503) 714-8987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202108403NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Oregon PC CurrentSince Nov 25, 2021 Accepting new patients

Locations

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

8060 SW Pfaffle St
Ste 102
Tigard, OR 97223
Phone (503) 714-8987

Interoperability endpoints

  • Direct secure messaging: rachel.cosgrove.1@13869.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1295492924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 SW PFAFFLE ST STE 102",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238489",
            "telephone_number": "503-714-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 SW PFAFFLE ST STE 102",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238489",
            "telephone_number": "503-714-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "RACHEL",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202108403NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SEIBERT",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.