Active NPI
Caitlin A Simons, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202108866NP-PP
- Practice address
- 4400 NE Halsey St Ste 286
Portland, OR 97213-1545 - Phone
- (503) 729-5814
- NPI assigned
- Aug 26, 2021
- Last updated
- Feb 27, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202108866NP-PP | OR | Primary |
Addresses
Primary practice location
4400 NE Halsey St Ste 286
Portland, OR 97213-1545
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
230 Rowe Street
Wheeler, OR 97147
Phone (844) 715-2299
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
4400 NE Halsey St
Portland, OR 97213-1545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202108866NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Go to Ortho LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Medical Group, PC | Past | Accepting new patients | |
| Nehalem Bay Health Center and Pharmacy | Past | Accepting new patients |
Locations
2695 SW Cedar Hills Blvd
Ste 140
Beaverton, OR 97005
Phone (503) 850-9940
4103 Mercantile Dr
Lake Oswego, OR 97035
Phone (503) 850-9940
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Medical Group
- Hematology & Oncology Physician
- Portland, OR
- NPI 1417136995
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Student Health Clinic/Center
- Rockaway Beach, OR
- NPI 1811569387
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063570604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1427725415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST STE 286",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-729-5814"
}
],
"practiceLocations": [
{
"address_1": "230 Rowe Street",
"address_purpose": "LOCATION",
"city": "Wheeler",
"state": "OR",
"postal_code": "97147",
"country_code": "US",
"telephone_number": "844-715-2299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONS",
"first_name": "CAITLIN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202108866NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 27, 2025; 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.