Individual provider Active NPI

Amy Hinshaw

  • Family Nurse Practitioner
  • North Bend, OR
National Provider Identifier
1720582315
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201701619NP-PP Issued in OR
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

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2181081MedicaidWA
500731433MedicaidOR
500740873MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180411000763 OR Practitioner - Nurse Practitioner 2860755568 Reassigns benefits to 3 organizations
I20210908001179 WA Practitioner - Nurse Practitioner 2860755568 Reassigns benefits to 1 organization

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
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

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

LicenseStateTypeSpecialty
201701619NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince May 11, 2020 Accepting new patients
North Bend Medical Center Inc CurrentSince Jun 1, 2018 Accepting new patients
Cep America LLC CurrentSince Jan 1, 2024 Accepting new patients
Cep America LLC Current Accepting new patients
Icco, LLC Current Accepting new patients
Physicians Immediate Care & Medical Centers, P.S. CurrentSince Aug 1, 2021 Accepting new patients
Cep America LLC CurrentSince Jan 1, 2024 Accepting new patients
Icco LLC CurrentSince May 11, 2020 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.