Individual provider Active NPI

Elizabeth Marie Hughes, PA-C

  • Medical Physician Assistant
  • Forest Grove, OR
National Provider Identifier
1629479282
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA174714 Issued in OR
Practice address
1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2893
Phone
(503) 359-4773
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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 PA174714 OR Primary

Addresses

Primary practice location

1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2893

Mailing address

1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2893

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
I20151105000898 OR Practitioner - Physician Assistant 1557671476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Timothy J Gray DO LLCGroup PAC ID 1355390584, 11 clinicians

Practice addresses (Care Compare)

1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773

4660 NE Belknap CT
Suite 119
Hillsboro, OR 97124-8402
Phone (503) 359-4773

Hospital & facility affiliations

  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA174714ORMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: elizabeth.hughes.1@26386.direct.athenahealth.com

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1629479282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN",
            "address_2": "SUITE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN",
            "address_2": "SUITE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162893",
            "telephone_number": "503-359-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA174714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.