Active NPI
Adriane Marie Tuttle, MSN, FNP-BC
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1871869149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201350058NP
- Practice address
- 12710 SE Division St
Portland, OR 97236-3134 - Phone
- (503) 988-3601
- Fax
- (503) 988-4167
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011979 | PA | |
| Family Nurse Practitioner | 363LF0000X | 201350058NP | OR | Primary |
Addresses
Primary practice location
12710 SE Division St
Portland, OR 97236-3134
Mailing address
421 SW Oak St
Ste. 210
Portland, OR 97204-1817
Phone (503) 988-7468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR | |
| 096511 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
441 30TH St
Astoria, OR 97103-2807
Phone (503) 338-2993
Hospital & facility affiliations
- Providence Home Health
- Columbia Memorial Hospital
- Providence Seaside Hospital
- Ocean Beach Hospital
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 62.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.57 of 100
- Quality
- 90.03
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
12710 SE Division St
Portland, OR 97236
Phone (503) 988-3410
Organizations & group practices 3
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
- Astoria, OR
- NPI 1861664781
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
-
- Critical Access Hospital
- Ilwaco, WA
- NPI 1295771376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1871869149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "STE. 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363134",
"telephone_number": "503-988-3601",
"fax_number": "503-988-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "ADRIANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011979",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201350058NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096511",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.