Abigail Nelson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Canby, OR
NPI 1679998967 · NPPES record last updated Feb 24, 2014
Key facts
- NPI
- 1679998967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201401038NP-PP (OR)
- Practice address
- 703 SE 1St Ave
Canby, OR 97013-3849 - Phone
- (503) 266-7686
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth Networks on Demand LLC
Practice addresses (Care Compare)
1400 NE Alberta St
Portland, OR 97211-5044
Phone (864) 664-3984
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 |
|---|---|---|---|---|
| I20150514002424 | OR | Practitioner - Nurse Practitioner | 2062732092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current |
Accepting new patients | |
| Zoomcare Urgent Care LLC | Past |
Accepting new patients | |
| Canby Healthcare Clinic LLC | Past |
Accepting new patients |
Locations
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
1400 NE Alberta St
Portland, OR 97211
2990 Commercial St SE
Ste 160
Salem, OR 97302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201401038NP-PP | OR | Yes |
Addresses
Primary practice location
703 SE 1St Ave
Canby, OR 97013-3849
Mailing address
703 SE 1St Ave
Canby, OR 97013-3849
Phone (503) 266-7686
Other providers in Canby, OR
- Sara Natale
- Billie Jean Neely
- Neighborhood Health Center
- Neighborhood Health Center
- Robert Scheer Neilson
- Alice Nelson
- Neurotherapeutic Pediatric Therapies Inc
- Ngocthao Hai Nguyen
- Sarah Anne Norby
- North Lake Physical Therapy and Rehabilitation, Inc.
All providers in Canby, OR · Family 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 Feb 24, 2014. 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.