Individual provider Active NPI

Drew Edwards, NP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1790454395
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202109543NP-PP Issued in OR
Practice address
2020 SE 182ND Ave
Portland, OR 97233-5692
Phone
(988) 540-0503
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202109543NP-PP OR Primary

Addresses

Primary practice location

2020 SE 182ND Ave
Portland, OR 97233-5692

Mailing address

7133 NE 10TH Ave
Portland, OR 97211-4003
Phone (847) 276-0940

Other names 1

  • Drew Wyldes Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001023 OR Practitioner - Nurse Practitioner 3375933187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multnomah CountyGroup PAC ID 6608771787, 111 clinicians
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

12710 SE Division
Mid County Health Center
Portland, OR 97236-3134
Phone (503) 988-3601

3653 SE 34TH Ave
Southeast Health Center
Portland, OR 97202-3034
Phone 503988366325879

37400 Bell St
Sandy, OR 97055-7868
Phone (971) 220-2701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202109543NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, PC CurrentSince Jan 1, 2024 Accepting new patients
Multnomah County CurrentSince Sep 28, 2021 Accepting new patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Sep 28, 2021 Accepting new patients

Locations

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

2020 SE 182nd Ave
Portland, OR 97233
Phone (503) 661-3439

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • Direct secure messaging: dedwards338294@direct.ochin.org
  • Direct secure messaging: drew.edwards.1@31614.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1790454395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 NE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114003",
            "telephone_number": "847-276-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335692",
            "telephone_number": "988-540-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DREW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202109543NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "WYLDES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.