Active NPI
Shirley Lynn Hanley, DR.
- Family Nurse Practitioner
- Wilsonville, OR
National Provider Identifier
1730604166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06172350
- Practice address
- 25117 SW Parkway Ave Ste B
Wilsonville, OR 97070 - Phone
- (971) 224-2505
- NPI assigned
- Aug 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F06172350 | OR | |
| Family Nurse Practitioner | 363LF0000X | F06172350 | OR | Primary |
Addresses
Primary practice location
25117 SW Parkway Ave Ste B
Wilsonville, OR 97070
Mailing address
25117 SW Parkway Ave Ste B
Wilsonville, OR 97070-9697
Other practice location 1
6751 Edison Rd
Marsing, ID 83639-8056
Phone (208) 969-0686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56271 | Other | ID | IDAHO BOARD OF NURSING |
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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
835 Crater Lake Ave
Medford, OR 97504-6505
Phone (888) 719-3491
Hospital & facility affiliations
- Riverside Home Health Care
- Signature Healthcare at Home
- Accentcare Home Health of Rogue Valley, LLC
- Assured Home Health
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.97 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06172350 | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Spring Health LLC | Current | Accepting new patients |
Locations
1208 Beall Ln
Central Point, OR 97502
835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141
Organizations & group practices 1
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.
-
- Gerontology Nurse Practitioner
- Medford, OR
- NPI 1417581315
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Home Health Agency
- Grants Pass, OR
- NPI 1841805223
-
- Home Health Agency
- Grants Pass, OR
- NPI 1396977393
-
- Home Health Agency
- Central Point, OR
- NPI 1003639733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535241600000",
"number": "1730604166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE STE B",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE STE B",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "97070",
"telephone_number": "971-224-2505"
}
],
"practiceLocations": [
{
"address_1": "6751 Edison Rd",
"address_purpose": "LOCATION",
"city": "Marsing",
"state": "ID",
"postal_code": "836398056",
"country_code": "US",
"telephone_number": "208-969-0686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANLEY",
"first_name": "SHIRLEY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "DR.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2018-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "F06172350",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "F06172350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BOARD OF NURSING",
"identifier": "56271",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.