Individual provider Active NPI

Shellie Anne Yoshie Finck, FNP

  • Family Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1407312143
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201900885NP-PP Issued in OR
Practice address
831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Phone
(503) 665-8176
Fax
(503) 665-8178
NPI assigned
Feb 19, 2019
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 201900885NP-PP OR Primary

Addresses

Primary practice location

831 NW Council Dr Ste 125
Gresham, OR 97030-3794

Mailing address

831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Phone (503) 665-8176

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
I20190531001027 OR Practitioner - Nurse Practitioner 5395078638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

831 NW Council Dr
Suite 125
Gresham, OR 97030-3794
Phone (503) 665-8176

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

State licenses

LicenseStateTypeSpecialty
201900885NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince May 13, 2019 Accepting new patients
Portland Adventist Medical Center CurrentSince May 13, 2019 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 26, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 26, 2023 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

831 NW Council Dr
Ste 101
Gresham, OR 97030
Phone (503) 665-8176

831 NW Council Dr
Ste 125
Gresham, OR 97030
Phone (503) 661-3439

Interoperability endpoints

  • Direct secure messaging: sfinck152649@direct.ohsu.edu

Organizations & group practices 4

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1407312143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 125",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303794",
            "telephone_number": "503-665-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 125",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303794",
            "telephone_number": "503-665-8176",
            "fax_number": "503-665-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCK",
        "first_name": "SHELLIE ANNE",
        "middle_name": "YOSHIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201900885NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.