Brenda C. Brewer, ARNP
Individual provider Active NPI Adult Health Nurse Practitioner · Portland, OR
NPI 1548555451 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1548555451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 201911318NP-PP (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-1775
- Fax
- (503) 494-4749
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Clinics LLC
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-1122
501 N Graham St
Portland, OR 97227-2000
Hospital & facility affiliations
- Legacy Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200224001496 | OR | Practitioner - Nurse Practitioner | 7315251600 | Reassigns benefits to 3 organizations |
| I20200416001607 | WA | Practitioner - Nurse Practitioner | 7315251600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2799782 | FL | MD | Nurse Practitioner |
| 201911318NP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current |
Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Current |
Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Current |
Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488
19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640
Interoperability endpoints
- bbrewer446271@direct.lhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201911318NP-PP | OR | |
| Nurse Practitioner | 363L00000X | ARNP2799782 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP2799782 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 201911318NP-PP | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1775
Other practice location 1
455 Pinellas St
Suite 320
Clearwater, FL 33756-3354
Phone (727) 443-6798
Other practice location 2
19250 SW 65th Ave
Tualatin, OR 97062-7452
Phone (503) 413-7162
Other providers in Portland, OR
- Richard J Breunissen
- Selena A Brever
- Kiley Brevik
- Stacee Brewer-Gordon
- Brandon Brewer
- Cindy Jane Brewer
- Erin Brewer Brewer
- Mitch G Brewer
- Sarah E Brewer
- Randall Princeton Brewster
All providers in Portland, OR · Adult Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.