Caitlin Staver

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10019683 Issued in OR

Practice address

11675 SW Pacific Hwy
Tigard, OR 97223-8672

Phone

(503) 305-6262

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uptown Providers PCGroup PAC ID 4284891243, shared by 2 NPIs, 43 clinicians

Nisha Jackson IncGroup PAC ID 6305147745, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nisha Jackson PC

  • Nurse Practitioner
  • Medford, OR
  • NPI 1124499124
  Medicare reassignment Care Compare group
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Tigard, OR
  • NPI 1346903531
  Medicare reassignment NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Vancouver, WA
  • NPI 1255102034
  Medicare reassignment NPD
• Uptown Providers PC

  • General Practice Physician
  • Beaverton, OR
  • NPI 1710349477
  NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Vancouver, WA
  • NPI 1912702465
  NPD
• Uptown Providers Inc

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Portland, OR
  • NPI 1134563620
  NPD (past)
• Uptown Providers PC

  • General Practice Physician
  • Portland, OR
  • NPI 1144598293
  NPD (past)
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Hillsboro, OR
  • NPI 1316607070
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1417731605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 RANDALL DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662156109",
            "telephone_number": "563-370-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238672",
            "telephone_number": "503-305-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 SE Tualatin Valley Hwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971235069",
            "country_code": "US",
            "telephone_number": "503-305-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "397 Warner Milne Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970454045",
            "country_code": "US",
            "telephone_number": "503-305-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14278 SW Allen Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970054405",
            "country_code": "US",
            "telephone_number": "503-305-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7033 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972135277",
            "country_code": "US",
            "telephone_number": "503-305-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAVER",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KS",
            "license": "14-148494-012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10019683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Staples
• Thomas Lester Starbard, DO
• Sara Starnes
• Samantha Statler
• Shannon Patricia Staudt
• Zoey Stealey, PA-C
• Brenda Lee Stebbeds, LMT
• Jessica Steele-Thornborrow, PT, DPT
• Angelica Grace Steele
• Jenna Anne Steele

• Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.