Individual provider Active NPI

Evonne Maria Kandas, N.P.

  • Women's Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1689677445
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
089000443N7 Issued in OR
Practice address
1130 NW 22ND Ave
Suite 110
Portland, OR 97210-2900
Phone
(503) 413-8654
Fax
(503) 413-8655
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 089000443N7 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave
Suite 110
Portland, OR 97210-2900

Mailing address

1130 NW 22ND Ave
Suite 110
Portland, OR 97210-2900
Phone (503) 413-8654

Other identifiers 2

IdentifierTypeStateIssuer
2006647MedicaidWA
268963MedicaidOR

Other names 1

  • Evonne Maria Anasis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101019001222 OR Practitioner - Nurse Practitioner 0547453854 Reassigns benefits to 2 organizations
I20170522001431 WA Practitioner - Nurse Practitioner 0547453854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 110
Portland, OR 97210-2934
Phone (503) 413-8654

1130 NW 22ND Ave
Suite 630
Portland, OR 97210-2977
Phone (503) 413-6160

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

2121 NE 139TH St
Vancouver, WA 98686-2316

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 10, 2017 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 3, 2017 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 10, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 3, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1130 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 228-8469

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

19260 SW 65th Ave
Ste 140
Tualatin, OR 97062
Phone (503) 413-8654

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: ekandas10522@direct.lhs.org
  • Direct secure messaging: ekandas105669@direct.ohsu.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1689677445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-413-8654",
            "fax_number": "503-413-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-413-8654",
            "fax_number": "503-413-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAS",
        "first_name": "EVONNE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "089000443N7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006647",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268963",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVONNE",
            "last_name": "ANASIS",
            "middle_name": "MARIA",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.