Active NPI
Colleen McDevitt-Maslen, PA-C
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2121 NE 139TH St
Vancouver, WA 98686-2301 - Phone
- (360) 487-1414
- NPI assigned
- Oct 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2121 NE 139TH St
Vancouver, WA 98686-2301
Mailing address
2222 NW Lovejoy St
Portland, OR 97210-3033
Phone (503) 413-5787
Other practice location 1
2222 NW Lovejoy St
Portland, OR 97210-3033
Phone (503) 413-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- 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
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
19875 SW 65TH Ave
Tualatin, OR 97062-8353
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487
2222 NW Lovejoy St
Portland, OR 97210-5100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients |
Locations
2222 NW Lovejoy St
Ste 304
Portland, OR 97210
Phone (503) 274-4994
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2222 NW Lovejoy St
Portland, OR 97210
Phone (503) 222-3638
19875 SW 65th Ave
Ste 250
Tualatin, OR 97062
Phone (503) 413-5525
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2121 NE 139th St
Vancouver, WA 98686
Phone (360) 487-1777
2121 NE 139th St
Ste 430
Vancouver, WA 98686
Phone (360) 487-1414
Organizations & group practices 3
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.
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1750925913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103033",
"telephone_number": "503-413-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NE 139TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862301",
"telephone_number": "360-487-1414"
}
],
"practiceLocations": [
{
"address_1": "2222 NW Lovejoy St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972103033",
"country_code": "US",
"telephone_number": "503-413-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDEVITT-MASLEN",
"first_name": "COLLEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.