Individual provider Active NPI

Elizabeth Anne Ribbeck, RN, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Salem, OR
National Provider Identifier
1639203540
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
200650117NP Issued in OR
Practice address
1285 Liberty St SE
Salem, OR 97301-4243
Phone
(503) 562-4040
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 739989 TX
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 200650117NP OR Primary

Addresses

Primary practice location

1285 Liberty St SE
Salem, OR 97301-4243

Mailing address

1285 Liberty St SE
Salem, OR 97301-4243
Phone (503) 562-4040

Other practice location 1

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-4984

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eribbeck231868@secure.stcharleshealthcare.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811003183 OR Practitioner - Certified Nurse Midwife (CNM) 7810089364 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
200650117NPORMDObstetrics & Gynecology Nurse Practitioner
739989TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Interoperability endpoints

  • Direct secure messaging: eribbeck231868@secure.stcharleshealthcare.org

Organizations & group practices 7

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1639203540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014243",
            "telephone_number": "503-562-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014243",
            "telephone_number": "503-562-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 NE Neff Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016015",
            "country_code": "US",
            "telephone_number": "541-706-4984",
            "fax_number": "541-706-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBBECK",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "739989",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": "200650117NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eribbeck231868@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.