Individual provider Active NPI

Rachel Pulver, RN, FNP

  • Family Nurse Practitioner
  • West Linn, OR
National Provider Identifier
1730364563
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201050014NP Issued in OR
Practice address
1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172
Phone
(503) 929-7722
Fax
(503) 451-6822
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200341425RN OR
Family Nurse Practitioner 363LF0000X 201050014NP OR Primary
Registered Nurse 163W00000X RN00176010 WA
Nurse Practitioner 363L00000X 201050014NP OR

Addresses

Primary practice location

1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172

Mailing address

1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172
Phone (503) 929-7722

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000448 OR Practitioner - Nurse Practitioner 5597895391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2130 8TH CT
West Linn, OR 97068-4365
Phone (503) 929-7722

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00176010WAMDRegistered Nurse
201050014NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 2

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1730364563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD",
            "address_2": "SUITE 448",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684172",
            "telephone_number": "503-929-7722",
            "fax_number": "503-451-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD",
            "address_2": "SUITE 448",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684172",
            "telephone_number": "503-929-7722",
            "fax_number": "503-451-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULVER",
        "first_name": "RACHEL",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200341425RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050014NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00176010",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201050014NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.