Individual provider Active NPI

Valerie J Nipper, PA-C

  • Medical Physician Assistant
  • Tigard, OR
National Provider Identifier
1508973330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00661 Issued in OR
Practice address
7300 SW Childs Rd
Tigard, OR 97224-7772
Phone
(503) 692-8700
Fax
(503) 692-8710
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00661 OR Primary

Addresses

Primary practice location

7300 SW Childs Rd
Tigard, OR 97224-7772

Mailing address

7300 SW Childs Rd
Tigard, OR 97224-7772
Phone (503) 692-8700

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
I20060127000034 OR Practitioner - Physician Assistant 1254345416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Sports Medicine AssociatesGroup PAC ID 1052306776, 17 clinicians

Practice addresses (Care Compare)

29345 SW Town Ctr Loop E
Suite 211
Wilsonville, OR 97070-8486
Phone (503) 692-8700

7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Sports Medicine Associates PastSince Sep 29, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508973330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPPER",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.