Active NPI
Michele A Zimmerman-Pike, MSN
- Advanced Practice Midwife
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 200850005NP
- Practice address
- 10101 SE Main St Ste 3001
Portland, OR 97216-2458 - Phone
- (503) 261-4423
- Fax
- (503) 261-4424
- NPI assigned
- Jan 10, 2008
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 200850005NP | OR | Primary |
Addresses
Primary practice location
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Mailing address
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5006022012 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200850005NP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521
10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667
Interoperability endpoints
- mzimmermanpike154927@direct.ohsu.edu
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 and National Provider Directory roles.
-
dba Adventist Health Portland
- Family Medicine Physician
- Portland, OR
- NPI 1215910302
-
dba Adventist Health Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
dba Adventist Health Portland
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
- NPI 1316502719
-
dba Adventist Health Medical Group
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
- Specialist
- Portland, OR
- NPI 1629461397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1700062627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST STE 3001",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162458",
"telephone_number": "503-261-4423",
"fax_number": "503-261-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST STE 3001",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162458",
"telephone_number": "503-261-4423",
"fax_number": "503-261-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN-PIKE",
"first_name": "MICHELE",
"middle_name": "A",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "200850005NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5006022012",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.