Individual provider Active NPI

Craig Steven Haggett, MSN, FNP

  • Primary Care Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1447672134
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
201501939NP-PP Issued in OR
Practice address
24900 SE Stark St Ste 205
Gresham, OR 97030-3382
Phone
(503) 665-1010
Fax
(503) 665-1023
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201501939NP-PP OR
Primary Care Nurse Practitioner 363LP2300X 201501939NP-PP OR Primary
Registered Nurse 163W00000X 201501933RN OR

Addresses

Primary practice location

24900 SE Stark St Ste 205
Gresham, OR 97030-3382

Mailing address

3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone (503) 775-4931

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
I20230515001410 OR Practitioner - Nurse Practitioner 6608232855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
California University of Science and Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MTN View Family Practice, PCGroup PAC ID 6608841432, 4 clinicians

Practice addresses (Care Compare)

24900 SE Stark St
Suite 205
Gresham, OR 97030-3382
Phone (503) 665-1010

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Portland, OR, CCN 387047
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
815116CAMDRegistered Nurse
RN60553698WAMDRegistered Nurse
AP60565022WAMDNurse Practitioner
95000311CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MTN. View Family Practice, PC CurrentSince Mar 30, 2023 Accepting new patients

Locations

24900 SE Stark St
Ste 205
Gresham, OR 97030
Phone (503) 665-1010

Interoperability endpoints

  • Direct secure messaging: chaggett1337062@direct.lhs.org
  • Direct secure messaging: craig.haggettrnp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1447672134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121112",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST STE 205",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303382",
            "telephone_number": "503-665-1010",
            "fax_number": "503-665-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGETT",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201501939NP-PP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201501939NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201501933RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.