Active NPI
Amy Hinshaw
- Family Nurse Practitioner
- North Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201701619NP-PP
- Practice address
- 1226 Virginia Ave
North Bend, OR 97459-2716 - Phone
- (541) 305-4224
- Fax
- (541) 305-4227
- NPI assigned
- Mar 20, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201701619NP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP61156698 | WA | |
| Nurse Practitioner | 363L00000X | AP61156698 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201701619NP-PP | OR | Primary |
Addresses
Primary practice location
1226 Virginia Ave
North Bend, OR 97459-2716
Mailing address
PO Box 4858
Portland, OR 97208-4858
Phone (541) 500-2500
Other practice location 1
400 9th St
Florence, OR 97439-7398
Phone (541) 997-8412
Other practice location 2
550 Gage Blvd
Richland, WA 99352-9532
Phone (509) 628-1362
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2181081 | Medicaid | WA | |
| 500731433 | Medicaid | OR | |
| 500740873 | Medicaid | OR |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201701619NP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Physicians Immediate Care & Medical Centers, P.S. | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Northwest Healthcare and Wellness Center, PLLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
1516 Jadwin Ave
Richland, WA 99354
Phone (509) 946-1695
550 Gage Blvd
Richland, WA 99352
Phone (509) 628-1362
Organizations & group practices 9
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 NBMC-Main
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
dba BestMed
- Family Medicine Physician
- Richland, WA
- NPI 1821002510
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Richland, WA
- NPI 1194812305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1720582315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4858",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084858",
"telephone_number": "541-500-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 VIRGINIA AVE",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974592716",
"telephone_number": "541-305-4224",
"fax_number": "541-305-4227"
}
],
"practiceLocations": [
{
"address_1": "400 9th St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974397398",
"country_code": "US",
"telephone_number": "541-997-8412",
"fax_number": "541-902-1695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Gage Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993529532",
"country_code": "US",
"telephone_number": "509-628-1362",
"fax_number": "509-946-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINSHAW",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201701619NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61156698",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61156698",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201701619NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2181081",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500731433",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500740873",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.