NPIMap

Individual provider Active NPI

Phyllis E Adjei

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1699220491
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10011900APRN-NP Issued in OR
Practice address
990 NW Circle Blvd Ste 102
Corvallis, OR 97330-1967
Phone
(541) 768-5486
NPI assigned
Aug 22, 2016
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 474458 CA
Wound Care Registered Nurse 163WW0000X 474458 CA
Nurse Practitioner 363L00000X 95005914 CA
Family Nurse Practitioner 363LF0000X 10011900APRN-NP OR Primary

Addresses

Primary practice location

990 NW Circle Blvd Ste 102
Corvallis, OR 97330-1967

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

5020 Commerce Dr
Bakersfield, CA 93309-0631
Phone (661) 324-4100

Other practice location 2

400 Hickory St NW Ste 200
Albany, OR 97321-1700
Phone (541) 812-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address padjei261469@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915001096 OR Practitioner - Nurse Practitioner 5597048843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

990 NW Circle Blvd
Corvallis, OR 97330-1967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
474458CAMDCritical Care Medicine Registered Nurse
95005914CAMDNurse Practitioner
10011900APRN-NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Sep 5, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 5, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 5, 2023 Accepting new patients
Albany General Hospital CurrentSince Sep 5, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

400 Hickory St NW
Ste 200
Albany, OR 97321
Phone (541) 812-5800

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

990 NW Circle Blvd
Ste 102
Corvallis, OR 97330
Phone (541) 768-5486

Organizations & group practices 6

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.

Hospital & facility affiliations 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1699220491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 NW CIRCLE BLVD STE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301967",
            "telephone_number": "541-768-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090631",
            "country_code": "US",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hickory St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211700",
            "country_code": "US",
            "telephone_number": "541-812-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADJEI",
        "first_name": "PHYLLIS",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "474458",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "474458",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005914",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10011900APRN-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padjei261469@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "990 NW Circle Blvd Ste 102",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973301967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.