Caroline M Carwood, FNP
Individual provider Active NPI Nurse Practitioner · Hillsboro, OR
NPI 1679097356 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1679097356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 201806040NP-PP (OR)
- Practice address
- 3305 NE Aloclek Dr
Hillsboro, OR 97124-7143 - Phone
- (503) 352-8610
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Emanuel Hospital and Health Center
Practice addresses (Care Compare)
475 S Columbia River Hwy
Saint Helens, OR 97051-2860
500 N Columbia Hwy
Suite 7
St Helens, OR 97051-1912
Phone (503) 397-0471
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20200403002769 | OR | Practitioner - Nurse Practitioner | 4789959263 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201806040NP-PP | OR | MD | Nurse Practitioner |
| AP60777557 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients |
Locations
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101
475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60777557 | WA | |
| Nurse Practitioner | 363L00000X | 201806040NP-PP | OR | Yes |
Addresses
Primary practice location
3305 NE Aloclek Dr
Hillsboro, OR 97124-7143
Mailing address
PO Box 6149
Aloha, OR 97007-0149
Phone (503) 352-8657
Other providers in Hillsboro, OR
- Carroll Smith
- Valerie Joy Carsey
- James Carson
- Donald Dean Carter
- Stephanie Carter
- Jennifer Leigh Cary
- Jessica Casarotti
- Cascade Internal Medicine LLC
- Cascade Occupational Medicine Physicians Inc
- Cascadia Behavioral Healthcare Inc
All providers in Hillsboro, OR · 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 Jul 7, 2020. 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.