Maureen C Andersen, CNM
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1851982904 · NPPES record last updated Jun 18, 2023
Key facts
- NPI
- 1851982904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5050 NE Hoyt St Ste 255
Portland, OR 97213-2982 - Phone
- (503) 215-6085
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Oregon Health Sciences University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
7305 SE Circuit Dr
Suite 260
Hillsboro, OR 97129-1966
Phone (503) 342-9928
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221019000498 | OR | Practitioner - Certified Nurse Midwife (CNM) | 8123494978 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202212404NP-PP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
7305 SE Circuit Dr
Ste 260
Hillsboro, OR 97129
Phone (503) 342-9928
1510 Division St
Ste 80
Oregon City, OR 97045
Phone (503) 655-0775
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9155 SW Barnes Rd
Ste 730
Portland, OR 97225
Phone (503) 216-4033
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
5050 NE Hoyt St
Ste 255
Portland, OR 97213
Phone (503) 215-6085
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
Interoperability endpoints
- mandersen1821125@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 202212404NP-PP | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5050 NE Hoyt St Ste 255
Portland, OR 97213-2982
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
Other providers in Portland, OR
- Jay Christopher Andersen
- Katherine Andersen
- Lauren Andersen
- Ligia Daniela Andersen
- Lisa Andersen
- Megan Ann Andersen
- Peggy Sunae Andersen
- Peter Edward Andersen
- Steven S Andersen
- Tracy Andersen
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.