Individual provider Active NPI

Niyyah Ruscher-Haqq, FNP

  • Nurse Practitioner
  • Portland, OR
National Provider Identifier
1831608520
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201707822NP-PP Issued in OR
Practice address
619 NW 6TH Ave Ste 200
Portland, OR 97209-3964
Phone
(503) 988-3700
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201707822NP-PP OR
Nurse Practitioner 363L00000X 201707822NP-PP OR Primary

Addresses

Primary practice location

619 NW 6TH Ave Ste 200
Portland, OR 97209-3964

Mailing address

619 NW 6TH Ave FL 5
Portland, OR 97209-3964
Phone (503) 988-7468

Other practice location 1

1132 SW 13th Ave
Portland, OR 97205-1703
Phone (813) 546-5457

Other practice location 2

8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489
Phone (503) 714-8987

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
I20180118001276 OR Practitioner - Nurse Practitioner 6901165018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multnomah CountyGroup PAC ID 6608771787, 111 clinicians

Practice addresses (Care Compare)

619 NW 6TH Ave
Portland, OR 97209-3964
Phone (503) 988-7468

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Sep 5, 2023 Accepting new patients
Multnomah County CurrentSince Sep 5, 2023 Accepting new patients
Dispatchhealth-Oregon PC CurrentSince Oct 26, 2020 Accepting new patients
Simplifed, Inc. Past Accepting new patients

Locations

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

619 NW 6th Ave
Ste 200
Portland, OR 97209
Phone (503) 988-3700

619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674

619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674

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

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

8060 SW Pfaffle St
Ste 102
Tigard, OR 97223
Phone (503) 714-8987

Interoperability endpoints

  • Direct secure messaging: mruscher220009@direct.ochin.org
  • Direct secure messaging: nruscherhaqq305804@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1831608520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE FL 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 SW 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972051703",
            "country_code": "US",
            "telephone_number": "813-546-5457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 SW Pfaffle St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238489",
            "country_code": "US",
            "telephone_number": "503-714-8987",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCHER-HAQQ",
        "first_name": "NIYYAH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201707822NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201707822NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.