Active NPI
Elizabeth A Bearden, NP
- Acute Care Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 201505554NP
- Practice address
- 3303 S Bond Ave
Portland, OR 97239-4501 - Phone
- (503) 494-1775
- Fax
- (503) 494-4749
- NPI assigned
- Apr 3, 2012
- Last updated
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 201505554NP | OR | Primary |
Addresses
Primary practice location
3303 S Bond Ave
Portland, OR 97239-4501
Mailing address
3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-1775
Other practice location 1
3181 SW Sam Jackson Park Rd
Dept of Anesthesiology and Perioperative Medicine
Portland, OR 97239-3011
Phone (503) 494-7641
Other practice location 2
1111 NE 99th Ave Ste 201
Portland, OR 97220-9442
Phone (503) 962-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00288298 | Medicaid | MS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebearden946034@oc.providencedirect.org | ||
| Direct Messaging Address | ebearden946034@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201505554NP | OR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Interoperability endpoints
- ebearden946034@oc.providencedirect.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba Child Development & Rehabilitation Center in Portland
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1073767588
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1407112535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 S BOND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-1775",
"fax_number": "503-494-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S BOND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-1775",
"fax_number": "503-494-4749"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_2": "Dept of Anesthesiology and Perioperative Medicine",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-7641",
"fax_number": "503-494-4661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 NE 99th Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972209442",
"country_code": "US",
"telephone_number": "503-962-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARDEN",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "201505554NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00288298",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebearden946034@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1111 NE 99th Ave Ste 201",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972209442",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebearden946034@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1510 Division St Ste 100",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "970451572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.