Individual provider Active NPI

Casey Ryan Magis-Agosta, CPNP-PC, APRN, MSN

  • Pediatric Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1790333136
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201907043NP-PP Issued in OR
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
201907043NP-PPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sellwood Medical Clinic PC CurrentSince Sep 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.