Individual provider Active NPI

Misty Lohn, FNP-C

  • Family Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1467807859
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201602542NP-PP Issued in OR
Practice address
17285 SW Waterleaf LN
Beaverton, OR 97006-8166
Phone
(503) 956-3085
NPI assigned
May 4, 2016
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201602542NP-PP OR Primary

Addresses

Primary practice location

17285 SW Waterleaf LN
Beaverton, OR 97006-8166

Mailing address

17285 SW Waterleaf LN
Beaverton, OR 97006-8166
Phone (503) 956-3085

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
I20250324003695 OR Practitioner - Nurse Practitioner 1456639053 Reassigns benefits to 1 organization
Practice locations: Beaverton, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17285 SW Waterleaf LN
Beaverton, OR 97006-8166
Phone (503) 956-3085

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Nurse Practitioner Now LLC Family CurrentSince Jul 22, 2025 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1467807859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17285 SW WATERLEAF LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068166",
            "telephone_number": "503-956-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17285 SW WATERLEAF LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068166",
            "telephone_number": "503-956-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHN",
        "first_name": "MISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201602542NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.