Individual provider Active NPI

Sarah Jeanne Finigan, AGACNP

  • Gerontology Nurse Practitioner
  • Portland, OR
National Provider Identifier
1427799568
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
10004228APRN-NP Issued in OR
Practice address
420 NE Mason St
Portland, OR 97211-3479
Phone
(503) 546-9292
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201408507RN OR
Gerontology Nurse Practitioner 363LG0600X 10004228APRN-NP OR Primary

Addresses

Primary practice location

420 NE Mason St
Portland, OR 97211-3479

Mailing address

420 NE Mason St
Portland, OR 97211-3479
Phone (503) 546-9292

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
I20240916003228 OR Practitioner - Nurse Practitioner 6901347178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201408507RNORMDRegistered Nurse
10004228APRN-NPORMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Sep 6, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 6, 2024 Accepting new patients

Locations

4805 NE Glisan St
Ste 3E14
Portland, OR 97213

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

Interoperability endpoints

  • Direct secure messaging: sfinigan505762@oc.providencedirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1427799568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE MASON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113479",
            "telephone_number": "503-546-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE MASON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113479",
            "telephone_number": "503-546-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINIGAN",
        "first_name": "SARAH",
        "middle_name": "JEANNE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201408507RN",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "10004228APRN-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.