Bathsheba Shunquita Queen, BSN, MSN
Individual provider Active NPI Primary Care Nurse Practitioner · Independence, OR
NPI 1427653153 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1427653153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 10038858 (OR)
- Practice address
- 216 S 2ND St Unit 183
Independence, OR 97351-2081 - Phone
- (352) 321-0554
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95015951 | CA | MD | Adult Health Nurse Practitioner |
| 10038858 | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Homecare 4U | Adult Health | Current | Accepting new patients |
| Coda, Inc. | Past |
Accepting new patients | |
| Coda, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 10038858 | OR | |
| Gerontology Nurse Practitioner | 363LG0600X | NP95015951 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | NP95015951 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | NP95015951 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 10038858 | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | 10038858 | OR | Yes |
Addresses
Primary practice location
216 S 2ND St Unit 183
Independence, OR 97351-2081
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400
Other providers in Independence, OR
- Lizzett Piza
- Mary Susanne Placek
- Polk County Fire District No.1
- Polk, Yamhill, & Marion Treatment Services
- Carly Polland
- R&J Mobility Service, LLC
- Restoration Health
- Restoration Wound Care and Research LLC
- Keegan Richards
- Bethany Anne Roberts
All providers in Independence, OR · Primary Care Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.