Active NPI
Emily R Charlton, FNP
- Nurse Practitioner
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201808042NP-PP
- Practice address
- 4660 NE Belknap CT Ste 119
Hillsboro, OR 97124-8402 - Phone
- (503) 359-4773
- Fax
- (503) 359-3809
- NPI assigned
- Sep 20, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201808042NP-PP | OR | Primary |
Addresses
Primary practice location
4660 NE Belknap CT Ste 119
Hillsboro, OR 97124-8402
Mailing address
1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190205001346 | OR | Practitioner - Nurse Practitioner | 0941548663 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Well Life Family Medicine LLC
Practice addresses (Care Compare)
256 SE 2ND Ave
Hillsboro, OR 97123-4017
Phone (971) 301-4411
Hospital & facility affiliations
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Timothy J Gray DO LLC | Current | Accepting new patients | |
| Well Life Family Medicine, LLC | Current | Accepting new patients | |
| Clear Choice Dermatology | Past | Accepting new patients |
Locations
2695 SW Cedar Hills Blvd
Ste 180
Beaverton, OR 97005
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116
Phone (503) 359-4773
256 SE 2nd Ave
Hillsboro, OR 97123
Phone (503) 648-1003
4660 NE Belknap Ct
Ste 119
Hillsboro, OR 97124
Phone (503) 359-3809
2990 Commercial St SE
Ste 160
Salem, OR 97302
1174 Cornucopia St NW
Ste 240
Salem, OR 97304
Phone (971) 301-4411
7451 SW Bridgeport Rd
Tigard, OR 97224
Interoperability endpoints
- emily.charlton.1@21276.direct.athenahealth.com
- https://api.platform.athenahealth.com/21276/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Dermatology Physician
- The Dalles, OR
- NPI 1891327185
Hospital & facility affiliations 12
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": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1407330889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 MOUNTAIN VIEW LN STE 200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162894",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 NE BELKNAP CT STE 119",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971248402",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "EMILY",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201808042NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.