Individual provider Active NPI

Breanna Nicole Baraff, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1336783190
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201909194NP-PP Issued in OR
Practice address
10000 SE Main St Ste 128
Portland, OR 97216-2462
Phone
(503) 261-5950
Fax
(503) 261-5998
NPI assigned
Nov 4, 2019
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 201909194NP-PP OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 128
Portland, OR 97216-2462

Mailing address

10000 SE Main St Ste 128
Portland, OR 97216-2462
Phone (503) 261-5950

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
I20200706001388 OR Practitioner - Nurse Practitioner 6507289832 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10000 SE Main St
Suite 128
Portland, OR 97216-2462
Phone (503) 261-5950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Jun 20, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jun 20, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 11, 2023 Accepting new patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Aug 4, 2020 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 11, 2023 Accepting new patients
Multnomah County CurrentSince Aug 4, 2020 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

10000 SE Main St
Ste 128
Portland, OR 97216
Phone (503) 251-6835

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674

9000 N Lombard St
Portland, OR 97203
Phone (503) 988-5304

Interoperability endpoints

  • Direct secure messaging: bbaraff153349@direct.ohsu.edu

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

Hospital & facility affiliations 2

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1336783190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 128",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162462",
            "telephone_number": "503-261-5950",
            "fax_number": "503-261-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 128",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162462",
            "telephone_number": "503-261-5950",
            "fax_number": "503-261-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAFF",
        "first_name": "BREANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201909194NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.