Active NPI
Mariah Louise Franclemont, PA-C
- Medical Physician Assistant
- Portland, OR
National Provider Identifier
1871909028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 017579
- Practice address
- 11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935 - Phone
- (032) 284-4145
- Fax
- (503) 228-7293
- NPI assigned
- Jul 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 017579 | NY | Primary |
Addresses
Primary practice location
11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Mailing address
11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Phone (503) 228-4414
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
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11790 SW Barnes Rd
Suite 330
Portland, OR 97225-5935
Phone (503) 228-4414
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85 of 100
- Quality
- 75.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1083855175
Hospital & facility affiliations 18
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 1114015971
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1871909028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11790 SW BARNES RD STE 330",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255935",
"telephone_number": "503-228-4414",
"fax_number": "503-228-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11790 SW BARNES RD STE 330",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255935",
"telephone_number": "032-284-4145",
"fax_number": "503-228-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCLEMONT",
"first_name": "MARIAH",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "017579",
"primary": true
}
],
"identifiers": [],
"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 Jul 23, 2020; 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.