Individual provider Active NPI

Aberash Warro Assefa, RN, MS, FNP

  • Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1376730739
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200750108NP FNP-PP Issued in OR
Practice address
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Phone
(503) 848-5861
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200750108NP FNP-PP OR Primary

Addresses

Primary practice location

10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033

Other identifiers 1

IdentifierTypeStateIssuer
278892MedicaidOR

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
I20071025000159 OR Practitioner - Nurse Practitioner 1658468525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health CenterGroup PAC ID 8426227893, 35 clinicians

Practice addresses (Care Compare)

10690 NE Cornell Rd
Suite 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
200750108NP FNP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center Current Accepting new patients
Neighborhood Health Center CurrentSince Nov 15, 2021 Accepting new patients
Neighborhood Health Center CurrentSince Nov 15, 2021 Accepting new patients
Landmark Health of Oregon LLC PastSince Aug 7, 2015 Accepting new patients
Neighborhood Health Center Past Accepting new patients

Locations

10690 NE Cornell Rd
Ste 220
Hillsboro, OR 97124
Phone (503) 848-5861

7320 SW Hunziker Rd
Ste 300
Tigard, OR 97223
Phone (503) 941-3033

Interoperability endpoints

  • Direct secure messaging: aassefanp3769@direct.ohsu.edu

Organizations & group practices 5

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 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1376730739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 NE CORNELL RD STE 220",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249224",
            "telephone_number": "503-848-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSEFA",
        "first_name": "ABERASH",
        "middle_name": "WARRO",
        "name_prefix": "Ms.",
        "credential": "RN, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200750108NP FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278892",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.