Amanda Mary Mehlhoff, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201404303NP-PP Issued in OR

Practice address

222 SE Jefferson St
Sheridan, OR 97378-1924

Phone

(503) 843-4909

Fax

(503) 843-4216

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1814/brand/22/csg/69/fhir/r4

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.

• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment NPD (past)
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Newberg, OR
  • NPI 1245661636
  NPD
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OR
  • NPI 1457229197
  NPD
• Willamette Valley Clinics LLC

  • Family Medicine Physician
  • Sheridan, OR
  • NPI 1033173604
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1487982666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SE JEFFERSON ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781924",
            "telephone_number": "503-843-4909",
            "fax_number": "503-843-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE JEFFERSON ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781924",
            "telephone_number": "503-843-4909",
            "fax_number": "503-843-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLHOFF",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200841184RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201404303NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Keehner, RPH
• Kenneth A Kelley, DC
• Kenneth G Mize Dmdpc
• Janice Jihee Kim, DDS
• Marie Louise Long, MD
• Kelly Lynn Menne
• Traci J Millsap, RN, BSN, IBCLC
• Kenneth G Mize, DMDPC
• James Patrick Molloy III, M.D.
• Northwest Medical Foundation of Tillamook

• Family Nurse Practitioner in Sheridan, OR
• Providers in Sheridan, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.