Active NPI
Evonne Maria Kandas, N.P.
- Women's Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 089000443N7
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006647 | Medicaid | WA | |
| 268963 | Medicaid | OR |
Other names 1
- Evonne Maria Anasis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Legacy Good Samaritan Medical Center
- Legacy Meridian Park Medical Center
- Legacy Mount Hood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | 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
- ekandas10522@direct.lhs.org
- 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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1336162874
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.