Individual provider Active NPI

Melissa Lynett Federspiel, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1881676641
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200350112NP Issued in OR
Practice address
5736 NE Glisan St
Portland, OR 97213-3750
Phone
(971) 258-1120
NPI assigned
Nov 17, 2005
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200350112NP OR Primary

Addresses

Primary practice location

5736 NE Glisan St
Portland, OR 97213-3750

Mailing address

5736 NE Glisan St
Portland, OR 97213-3750
Phone (971) 258-1120

Other practice location 1

8935 SE Powell Blvd
Portland, OR 97266-1938
Phone (503) 772-4335

Other names 1

  • Melissa M Lynett Former name

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
I20070224000093 OR Practitioner - Nurse Practitioner 7214937309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sellwood Medical Clinic PCGroup PAC ID 3274526868, 6 clinicians

Practice addresses (Care Compare)

8332 SE 13TH Ave
Portland, OR 97202-7102
Phone (503) 595-9300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Aug 29, 2022 Accepting new patients
Sellwood Medical Clinic PC CurrentSince Sep 15, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 29, 2022 Accepting new patients

Locations

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

8332 SE 13th Ave
Portland, OR 97202
Phone (503) 595-9300

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.federspiel.1@3083.direct.athenahealth.com
  • Direct secure messaging: mfederspiel2521103@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1881676641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133750",
            "telephone_number": "971-258-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133750",
            "telephone_number": "971-258-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8935 SE Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972661938",
            "country_code": "US",
            "telephone_number": "503-772-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDERSPIEL",
        "first_name": "MELISSA",
        "middle_name": "LYNETT",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200350112NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LYNETT",
            "middle_name": "M",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.