Active NPI
Melissa Lynett Federspiel, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
- Key facts
- Organizations & group practices3
- Hospital & facility affiliations2
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers2
- Other names1
- NPI Registry JSON
- Other providers in Portland, OR
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200350112NP
- Practice address
- 5736 NE Glisan St
Portland, OR 97213-3750 - Phone
- (971) 258-1120
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Hospital
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 PC
Practice addresses (Care Compare)
8332 SE 13TH Ave
Portland, OR 97202-7102
Phone (503) 595-9300
Hospital & facility affiliations
- Providence Milwaukie Hospital
- Ohsu Hospital and Clinics
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070224000093 | OR | Practitioner - Nurse Practitioner | 7214937309 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Sellwood Medical Clinic PC | Current | Accepting new patients |
Locations
8332 SE 13th Ave
Portland, OR 97202
Phone (503) 595-9300
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Interoperability endpoints
- mfederspiel2521103@oc.providencedirect.org
- https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
- melissa.federspiel.1@3083.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200350112NP | OR | Primary |
Addresses
NPPES NPI RegistryPrimary 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 identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| J555 08 | Other | PACIFIC SOURCE | |
| 911019392 | Other | COMMERCIAL |
Other names 1
NPPES NPI Registry- Melissa M Lynett
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2022.
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "J555 08",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "911019392",
"state": null
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.