Individual provider Active NPI

Jamie R Zilverberg, FNP

  • Family Nurse Practitioner
  • Tualatin, OR
National Provider Identifier
1366435372
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200550064NP Issued in OR
Practice address
19260 SW 65TH Ave
Tualatin, OR 97062-5701
Phone
(971) 262-9700
Fax
(971) 262-9701
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200550064NP OR
Family Nurse Practitioner 363LF0000X 200550064NP OR Primary

Addresses

Primary practice location

19260 SW 65TH Ave
Tualatin, OR 97062-5701

Mailing address

1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Phone (866) 617-6855

Other practice location 1

9280 SE Sunnybrook Blvd
Ste 200
Clackamas, OR 97015-6776
Phone (503) 513-1900

Other identifiers 1

IdentifierTypeStateIssuer
213492MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzilverberg118106@oc.providencedirect.org

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
I20050726000032 OR Practitioner - Nurse Practitioner 3375570922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200550064NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Dec 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 1, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 1, 2017 Accepting new patients
University Professional Services CurrentSince Sep 1, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 1, 2020 Accepting new patients
University Professional Services CurrentSince Sep 1, 2024 Accepting new patients
University Professional Services PastSince Oct 13, 2024 Accepting new patients
Pacific Oncology PC Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

9280 SE Sunnybrook Blvd
Ste 200
Clackamas, OR 97015
Phone (503) 513-1900

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1003 N Providence Dr
Ste 310
Newberg, OR 97132
Phone (503) 216-6300

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

1400 SW 5th Ave
Ste 500
Portland, OR 97201

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

19260 SW 65th Ave
Ste 435
Tualatin, OR 97062
Phone (503) 692-2032

Interoperability endpoints

  • Direct secure messaging: jzilverberg179523@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 and National Provider Directory roles.

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1366435372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015537",
            "telephone_number": "866-617-6855",
            "fax_number": "503-346-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "971-262-9700",
            "fax_number": "971-262-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9280 SE Sunnybrook Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156776",
            "country_code": "US",
            "telephone_number": "503-513-1900",
            "fax_number": "503-513-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILVERBERG",
        "first_name": "JAMIE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200550064NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550064NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213492",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzilverberg118106@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9290 SE Sunnybrook Blvd Ste 200",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970156777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.