NPIMap

Individual provider Active NPI

Emily Grace Atharinikrouh, FNP

  • Primary Care Nurse Practitioner
  • Albany, OR
National Provider Identifier
1639424104
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
201250097NP Issued in OR
Practice address
400 Hickory St NW Ste 303
Albany, OR 97321-1700
Phone
(541) 812-5275
NPI assigned
Jul 19, 2012
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 201250097NP OR Primary

Addresses

Primary practice location

400 Hickory St NW Ste 303
Albany, OR 97321-1700

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

222 SE Jefferson St
Sheridan, OR 97378-1924
Phone (503) 843-4909

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eatharinkrouh263863@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121031000348 OR Practitioner - Nurse Practitioner 7517117419 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

1700 Geary St SE
Albany, OR 97322-6842

1970 14TH Ave SE
Suite 130
Albany, OR 97322-8527
Phone (541) 812-5670

400 Hickory St NW
Albany, OR 97321-1700

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

534 Pleasant View Way NW
Albany, OR 97321-1700

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 13, 2026 Accepting new patients
Emurgent Care LLC CurrentSince Mar 1, 2021 Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2023 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2023 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2023 Accepting new patients
Willamette Valley Clinics LLC CurrentSince Aug 1, 2012 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 13, 2026 Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Willamette Valley Clinics LLC Past Accepting new patients

Locations

400 Hickory St NW
Ste 303
Albany, OR 97321
Phone (541) 812-5275

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

109B E Ellendale Ave
Dallas, OR 97338
Phone (503) 437-3594

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

222 SE Jefferson St
Sheridan, OR 97378
Phone (503) 843-1535

Interoperability endpoints

  • Direct secure messaging: eatharinkrouh263863@samhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/1814/brand/22/csg/69/fhir/r4

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1639424104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HICKORY ST NW STE 303",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211700",
            "telephone_number": "541-812-5275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "OR",
            "postal_code": "973781924",
            "country_code": "US",
            "telephone_number": "503-843-4909",
            "fax_number": "503-843-4216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHARINIKROUH",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201250097NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eatharinkrouh263863@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "400 Hickory St NW Ste 303",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.