Individual provider Active NPI

Rachel Ann Crowder, FNP-C

  • Family Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1578326757
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10022161 Issued in OR
Practice address
24988 SE Stark St Ste 300
Gresham, OR 97030-8325
Phone
(971) 262-9500
Fax
(971) 262-9501
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61525039 WA
Family Nurse Practitioner 363LF0000X 10022161 OR Primary

Addresses

Primary practice location

24988 SE Stark St Ste 300
Gresham, OR 97030-8325

Mailing address

1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Phone (866) 617-6855

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
I20240805002944 OR Practitioner - Nurse Practitioner 7618414939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61525039WAMDNurse Practitioner
10022161ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services CurrentSince Jul 15, 2024 Accepting new patients
Mid-Columbia Medical Center CurrentSince Nov 1, 2025 Accepting new patients
University Professional Services CurrentSince Jul 15, 2024 Accepting new patients
University Professional Services Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Mid-Columbia Medical Center Family Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

24988 SE Stark St
Ste 300
Gresham, OR 97030
Phone (503) 674-5818

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

10000 SE Main St
Ste 350
Portland, OR 97216
Phone (503) 262-9800

1130 NW 22nd Ave
Ste 150
Portland, OR 97210
Phone (971) 262-9600

1400 SW 5th Ave
Ste 500
Portland, OR 97201

1800 E 19th St
The Dalles, OR 97058
Phone (541) 296-7204

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

19260 SW 65th Ave
Ste 435
Tualatin, OR 97062
Phone (503) 692-2032

Interoperability endpoints

  • Direct secure messaging: rcrowder6773@direct.ohsu.edu

Organizations & group practices 8

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 4

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1578326757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015537",
            "telephone_number": "866-617-6855",
            "fax_number": "503-346-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24988 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308325",
            "telephone_number": "971-262-9500",
            "fax_number": "971-262-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61525039",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10022161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.