Individual provider Active NPI

Cynthia Rose McCullough, ARNP, CNM

  • Midwife
  • Portland, OR
National Provider Identifier
1871958017
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
180IP Issued in NC
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 418-4500
Fax
(503) 494-3878
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 202213852NP-PP OR
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 180IP NC Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

381 Deerfield Rd
Largo, NC 33771-2218
Phone (828) 268-8970

Other practice location 1

381 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 268-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221205002531 OR Practitioner - Certified Nurse Midwife (CNM) 2163891664 Reassigns benefits to 3 organizations
I20251001004397 NC Practitioner - Certified Nurse Midwife (CNM) 2163891664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
180IPNCMDMidwife
202213852NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Single Specialty Current Accepting new patients
University Professional Services Single Specialty Current Accepting new patients
Tuality Medical Group LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Northwest Women'S Clinic, PC Single Specialty CurrentSince Oct 3, 2022 Accepting new patients
University Professional Services CurrentSince May 1, 2024 Accepting new patients
Tuality Medical Group LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
University Professional Services CurrentSince May 1, 2024 Accepting new patients
Appalachian Regional Medical Associates, Inc. Single Specialty CurrentSince Aug 25, 2025 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

381 Deerfield Rd
Boone, NC 28607
Phone (828) 268-8970

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

364 SE 8th Ave
Ste 205
Hillsboro, OR 97123
Phone (503) 681-4134

11750 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 416-9922

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

Interoperability endpoints

  • Direct secure messaging: cmccullough172595@direct.ohsu.edu
  • FHIR API: https://api.platform.athenahealth.com/3841/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1871958017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 DEERFIELD RD",
            "city": "LARGO",
            "state": "NC",
            "postal_code": "337712218",
            "telephone_number": "828-268-8970",
            "fax_number": "828-262-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Deerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075009",
            "country_code": "US",
            "telephone_number": "828-268-8970",
            "fax_number": "828-262-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CYNTHIA",
        "middle_name": "ROSE",
        "credential": "ARNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "202213852NP-PP",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "NC",
            "license": "180IP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.