Individual provider Active NPI

Patricia Lynn Norris, MD

  • Dermatology Physician
  • Portland, OR
National Provider Identifier
1306873203
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD21209 Issued in OR
Practice address
2222 NW Lovejoy St
Suite 422
Portland, OR 97210-3033
Phone
(503) 227-7117
Fax
(503) 227-7120
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD21209 OR Primary

Addresses

Primary practice location

2222 NW Lovejoy St
Suite 422
Portland, OR 97210-3033

Mailing address

2222 NW Lovejoy St
Suite 422
Portland, OR 97210-3033
Phone (503) 227-7117

Other identifiers 1

IdentifierTypeStateIssuer
130006MedicaidOR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000659 OR Practitioner - Dermatology 9133023880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Epiphany Dermatology of Oregon LLCGroup PAC ID 0345144093, 3 clinicians

Practice addresses (Care Compare)

2222 NW Lovejoy St
Suite 422
Portland, OR 97210-5102
Phone (503) 227-7117

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as individual
Quality
91.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal of skin lesions789
Removal or shaving of skin growth1-10
Skin biopsy150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21209ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Oregon, LLC Dermatology CurrentSince Jun 25, 2002 Accepting new patients

Locations

2222 NW Lovejoy St
Ste 422
Portland, OR 97210
Phone (503) 227-7117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGCAA/Endpoint/GJGCAA

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1306873203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "SUITE 422",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-227-7117",
            "fax_number": "503-227-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "SUITE 422",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-227-7117",
            "fax_number": "503-227-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD21209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130006",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.