Individual provider Active NPI

Grace Elise Hyland Elton, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1679274583
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10018570APRN-NP Issued in OR
Practice address
9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone
(503) 216-2602
NPI assigned
Mar 16, 2023
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 209027586 IL
Advanced Practice Midwife 367A00000X 10018570APRN-NP OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231102002101 IL Practitioner - Certified Nurse Midwife (CNM) 1355797929
I20240820003032 OR Practitioner - Certified Nurse Midwife (CNM) 1355797929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Portland, OR 97208

PO Box
Suite 3158
Portland, OR 97208-3158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209027586ILMDAdvanced Practice Midwife
10018570APRN-NPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Sep 19, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 13, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 19, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 13, 2024 Accepting new patients

Locations

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

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

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1679274583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 761",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256777",
            "telephone_number": "503-216-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTON",
        "first_name": "GRACE",
        "middle_name": "ELISE HYLAND",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209027586",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10018570APRN-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.