Amy Stivers, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

201506048NP-PP Issued in OR

Practice address

1153 Molalla Ave
Oregon City, OR 97045

Phone

(503) 515-4004

Fax

(503) 446-3398

NPI assigned

Mar 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Portland, OR, CCN 387003
• Providence Home Health Home health agency, Portland, OR, CCN 387048
• Providence Hospice Hospice, Portland, OR, CCN 381500

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.stivers.1@22950.direct.athenahealth.com

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.

• Healthy at Home LLC

  dba Healthy at Home Providers

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1023590841
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Oregon, L.L.C.

  dba Amedisys Home Health Care

  • Home Health Agency
  • Portland, OR
  • NPI 1134311988
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Hospice

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1205924313
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Home Health

  • Home Health Agency
  • Portland, OR
  • NPI 1790873461
  Care Compare affiliation

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1366867293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143839",
            "telephone_number": "503-515-4004",
            "fax_number": "503-446-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-515-4004",
            "fax_number": "503-446-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Centerpointe Dr",
            "address_2": "Ste 600",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358651",
            "country_code": "US",
            "telephone_number": "678-462-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9860 NW Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972295250",
            "country_code": "US",
            "telephone_number": "503-515-4004",
            "fax_number": "503-446-3398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVERS",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN169713",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "201506048NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692367",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E Stephenson, MD
• Kayla Tamar Stevens
• Cassandra Elizabeth Stewart, RN
• Lowan Stewart
• Colette A Stiff
• Margaret A Stochosky, NP
• Lance Stolte, CADC I
• Ava Marie Stone, PHD
• Leah Ann Tyler Stoutt
• Kate Stover, MSW

• Gerontology Nurse Practitioner in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Gerontology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.