Active NPI
Anne-Marie Bath McCoy, MD
- Family Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00042162
- Practice address
- 12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055 - Phone
- (800) 813-2000
- NPI assigned
- Jul 7, 2005
- Last updated
- Jan 8, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00042162 | WA | Primary |
Addresses
Primary practice location
12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2099
Phone (800) 813-2000
Other practice location 1
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone (360) 747-5800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170505 | Other | WA | LABOR & IND. |
| 8932195 | Other | WA | CRIME VICTIMS |
| 8359218 | Medicaid | WA | |
| P00019803 | Other | RR MEDICARE | |
| 226975 | Medicaid | OR |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amccoy470308@oc.providencedirect.org | ||
| Direct Messaging Address | amccoy470308@oc.providencedirect.org | ||
| Direct Messaging Address | amccoy470308@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pittsburgh School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10670 NE Cornell Rd
Hillsboro, OR 97124-9221
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (203) 263-9500
4920 N Interstate Ave
Portland, OR 97217-3653
Phone (503) 215-3300
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405
5330 NE Glisan St
Portland, OR 97213-3069
5555 NE Elam Young Pkwy
Hillsboro, OR 97124-6452
Phone (503) 216-1600
9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110
Hospital & facility affiliations
- Providence Portland Medical Center
- Providence Willamette Falls Medical Center
- Providence Milwaukie Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042162 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Providence Health & Services Oregon | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Past | Accepting new patients |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Family Medicine | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500
5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600
70 Bower Dr
Medford, OR 97501
Phone (541) 732-3650
2400 E Douglas Ave
Bldg K
Newberg, OR 97132
Phone (971) 231-5855
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
12607 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 418-6001
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- amccoy470308@oc.providencedirect.org
Organizations & group practices 16
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
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Family Medicine
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
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
Family Medicine
-
dba Providence Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1609117282
-
dba Providence Medical Group South
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
-
dba Providence Seaside Hospital - Providence Cannon Beach Clinic
- Rural Health Clinic/Center
- Cannon Beach, OR
- NPI 1841756764
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1720085475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322099",
"telephone_number": "800-813-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12607 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846055",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "1718 E Kessler Blvd",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986321842",
"country_code": "US",
"telephone_number": "360-747-5800",
"fax_number": "360-575-3846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "ANNE-MARIE",
"middle_name": "BATH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00042162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & IND.",
"identifier": "0170505",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8932195",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8359218",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00019803",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226975",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amccoy470308@oc.providencedirect.org",
"affiliation": "N",
"address_1": "18040 SW Lower Boones Ferry Rd Ste 100",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "972247259",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amccoy470308@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4004 Kruse Way Pl Ste 300",
"city": "Lake Oswego",
"state": "OR",
"country_code": "US",
"postal_code": "970352479",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amccoy470308@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9205 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.