NPIMap

Individual provider Active NPI

Hanorah Brighid McDonald, FNP AGACNP

  • Family Medicine Physician
  • Fossil, OR
National Provider Identifier
1730765579
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202011101NP-PP Issued in OR
Practice address
712 Jay St
Fossil, OR 97830-8371
Phone
(541) 763-2725
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202011101NP-PP OR Primary

Addresses

Primary practice location

712 Jay St
Fossil, OR 97830-8371

Mailing address

PO Box 141
Condon, OR 97823-0141
Phone (541) 384-2287

Other identifiers 2

IdentifierTypeStateIssuer
202011101NP-PPOtherORFNP LICENSE
202011100NP-PPOtherORAGACNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427003141 OR Practitioner - Nurse Practitioner 3375951502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians
Morrow County Health DistrictGroup PAC ID 2365359296, 15 clinicians

Practice addresses (Care Compare)

1620 E 12TH St
The Dalles, OR 97058-3213
Phone (541) 296-9151

635 3Rd St
Ione, OR 97843
Phone (541) 422-7128

9 PO Box
Heppner, OR 97836

PO Box
Suite 9
Heppner, OR 97836

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202011101NP-PPORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Community Health Center CurrentSince Apr 6, 2021 Accepting new patients
Mid-Columbia Medical Center CurrentSince Apr 1, 2022 Accepting new patients
Asher Community Health Center CurrentSince Apr 6, 2021 Accepting new patients
Mid-Columbia Medical Center Family Medicine Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Apr 1, 2022 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Asher Community Health Center Current Accepting new patients

Locations

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202

Interoperability endpoints

  • Direct secure messaging: hmcdonald141327@direct.ohsu.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1730765579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "CONDON",
            "state": "OR",
            "postal_code": "978230141",
            "telephone_number": "541-384-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978308371",
            "telephone_number": "541-763-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "HANORAH",
        "middle_name": "BRIGHID",
        "credential": "FNP AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "202011101NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "202011101NP-PP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGACNP LICENSE",
            "identifier": "202011100NP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fossil, OR

Sources for this page

Verify at the official NPI Registry.