Active NPI
Casey Ryan Magis-Agosta, CPNP-PC, APRN, MSN
- Pediatric Nurse Practitioner
- Beaverton, OR
National Provider Identifier
1790333136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 201907043NP-PP
- Practice address
- 15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357 - Phone
- (503) 531-3434
- Fax
- (503) 645-4544
- NPI assigned
- Aug 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 201907043NP-PP | OR | Primary |
Addresses
Primary practice location
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Mailing address
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone (503) 531-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201907043NP-PP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sellwood Medical Clinic PC | Current | Accepting new patients | |
| Metropolitan Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Locations
8332 SE 13th Ave
Portland, OR 97202
Phone (503) 595-9300
Interoperability endpoints
- https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
- cmagisagosta445855@direct.lhs.org
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1083686554
-
- Pediatrics Physician
- Portland, OR
- NPI 1235131632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1790333136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY STE 111",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067357",
"telephone_number": "503-531-3434",
"fax_number": "503-645-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY STE 111",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067357",
"telephone_number": "503-531-3434",
"fax_number": "503-645-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGIS-AGOSTA",
"first_name": "CASEY",
"middle_name": "RYAN",
"credential": "CPNP-PC, APRN, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "201907043NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.