Individual provider Active NPI

Carissa Marie St. Onge Carneiro, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1891155677
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201601410NP-PP Issued in OR
Practice address
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone
(503) 261-4423
Fax
(503) 261-4424
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201601410NP-PP OR Primary

Addresses

Primary practice location

10101 SE Main St Ste 3001
Portland, OR 97216-2458

Mailing address

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Other practice location 1

2277 NW Irving St
Portland, OR 97210-3222
Phone (503) 208-7485

Other practice location 2

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone (503) 216-2602

Other practice location 3

545 NE 47th Ave Ste 102
Portland, OR 97213
Phone (503) 215-6262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstongecarneiro248651@oc.providencedirect.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327002763 OR Practitioner - Certified Nurse Midwife (CNM) 1355603598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10101 SE Main St
Suite 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201601410NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Oct 21, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2018 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 22, 2023 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2018 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 22, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2018 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 21, 2022 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

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

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

Interoperability endpoints

  • Direct secure messaging: cstongecarneiro152402@direct.ohsu.edu
  • Direct secure messaging: carissa.stongecarneiro.1@16879.direct.athenahealth.com
  • Direct secure messaging: cstongecarneiro248651@oc.providencedirect.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1891155677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2277 NW Irving St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103222",
            "country_code": "US",
            "telephone_number": "503-208-7485",
            "fax_number": "877-857-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9135 SW Barnes Rd Ste 761",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256777",
            "country_code": "US",
            "telephone_number": "503-216-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 NE 47th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97213",
            "country_code": "US",
            "telephone_number": "503-215-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. ONGE CARNEIRO",
        "first_name": "CARISSA",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201601410NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstongecarneiro248651@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "10566 SE Washington St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.