Active NPI
Melinda Carol Burns-Williams, FNP
- Family Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201905021NP-PP
- Practice address
- 12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475 - Phone
- (503) 216-8820
- NPI assigned
- Nov 19, 2015
- Last updated
- Oct 27, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9268138 | FL | |
| Registered Nurse | 163W00000X | RN9268138 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 201905021NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | 201905021NP-PP | OR | Primary |
Addresses
Primary practice location
12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mburnswilliams19060@directmsg.bmctotalcare.com | Direct |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12345 SW Horizon Blvd
Suite 57
Beaverton, OR 97007-9475
Phone (503) 216-8820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9268138 | FL | MD | Registered Nurse |
| ARNP9268138 | FL | MD | Family Nurse Practitioner |
| 201905021NP-PP | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Family | Current | Accepting new patients |
| Icco LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Paulina Peaks Family Healthcare | Family | Past | Accepting new patients |
| Icco, LLC | Past | Accepting new patients |
Locations
12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500
5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600
2400 E Douglas Ave
Bldg K
Newberg, OR 97132
Phone (971) 231-5855
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
3818 SW 21st St
Redmond, OR 97756
Phone (541) 548-2899
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
727 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
Interoperability endpoints
- mburnswilliams19060@directmsg.bmctotalcare.com
- mburnswilliams3007944@oc.providencedirect.org
Organizations & group practices 14
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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
dba Providence Medical Group
- Family Medicine Physician
- Hillsboro, OR
- NPI 1003916354
-
dba Providence Medical Group
- Family Medicine Physician
- Gresham, OR
- NPI 1053419218
-
dba Providence Medical Group
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1124458914
-
dba Providence Medical Group
- Obstetrics & Gynecology Physician
- Hillsboro, OR
- NPI 1538400114
-
dba Providence Seaside Hospital, Providence Seaside Clinic
- Rural Health Clinic/Center
- Seaside, OR
- NPI 1649344458
-
dba Providence Seaside Hospital - Providence Warrenton Clinic
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1710351341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 SW HORIZON BLVD STE 57",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079475",
"telephone_number": "503-216-8820"
}
],
"practiceLocations": [
{
"address_1": "1501 NE Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016051",
"country_code": "US",
"telephone_number": "541-382-4900",
"fax_number": "541-706-2398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS-WILLIAMS",
"first_name": "MELINDA",
"middle_name": "CAROL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9268138",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9268138",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OR",
"license": "201905021NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201905021NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mburnswilliams19060@directmsg.bmctotalcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1501 NE Medical Center Dr",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.