Individual provider Active NPI

Cristela Corazon McAravey, DNP-FNP C

  • Family Nurse Practitioner
  • Sherwood, OR
National Provider Identifier
1336527068
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201809761NP-PP Issued in OR
Practice address
20510 SW Roy Rogers Rd Unit 210
Sherwood, OR 97140-9320
Phone
(503) 268-3383
NPI assigned
May 14, 2015
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201809761NP-PP OR Primary
Student in an Organized Health Care Education/Training Program 390200000X 201401059RN OR

Addresses

Primary practice location

20510 SW Roy Rogers Rd Unit 210
Sherwood, OR 97140-9320

Mailing address

20510 SW Roy Rogers Rd Unit 210
Sherwood, OR 97140-9320
Phone (503) 268-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210601002426 WA Practitioner - Nurse Practitioner 4385975127 Reassigns benefits to 1 organization
I20220330001076 OR Practitioner - Nurse Practitioner 4385975127 Reassigns benefits to 1 organization
I20220518002348 MT Practitioner - Nurse Practitioner 4385975127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bicycle Health Medical Group PAGroup PAC ID 0244643872, 23 clinicians

Practice addresses (Care Compare)

1700 Westlake Ave N
Suite 200
Seattle, WA 98109-6212
Phone (844) 943-2514

4145 S W Watson
Suite 350 Office 354
Beaverton, OR 97005
Phone (844) 943-2514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201809761NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Aug 1, 2021 Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients
Ideal Telemedicine Services, LLC PastSince Sep 29, 2020 Accepting new patients

Locations

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

1050 SW 6th Ave
Ste 1100
Portland, OR 97204
Phone (469) 640-0057

1700 Westlake Ave N
Ste 200
Seattle, WA 98109
Phone (206) 454-8382

Interoperability endpoints

  • Direct secure messaging: cristela.mcaravey.1@18731.direct.athenahealth.com

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, 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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1336527068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD UNIT 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "503-268-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD UNIT 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "503-268-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARAVEY",
        "first_name": "CRISTELA",
        "middle_name": "CORAZON",
        "credential": "DNP-FNP C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201809761NP-PP",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "201401059RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

Verify at the official NPI Registry.