Individual provider Active NPI

Marjorie Selene Camarda, ARNP, RN

  • Advanced Practice Midwife
  • Woodburn, OR
National Provider Identifier
1891253712
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201907254NP-PP Issued in OR
Practice address
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone
(971) 983-5260
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201907254NP-PP OR Primary
Registered Nurse 163W00000X 201708979RN OR
Nurse Practitioner 363L00000X AP61013196 WA

Addresses

Primary practice location

1475 Mount Hood Ave
Woodburn, OR 97071-9066

Mailing address

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (971) 983-5260

Other identifiers 1

IdentifierTypeStateIssuer
50776456MedicaidOR

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
I20200325001218 OR Practitioner - Certified Nurse Midwife (CNM) 9830527878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61013196WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Mar 17, 2020 Accepting new patients
Silverton Health CurrentSince Mar 17, 2020 Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky PastSince Feb 1, 2020 Accepting new patients

Locations

5685 Inland Shores Way N
Keizer, OR 97303
Phone (503) 779-2271

406 Welch St
Silverton, OR 97381
Phone (503) 364-3787

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Ste 140
Woodburn, OR 97071
Phone (503) 873-8853

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1891253712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MOUNT HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719066",
            "telephone_number": "971-983-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MOUNT HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719066",
            "telephone_number": "971-983-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARDA",
        "first_name": "MARJORIE",
        "middle_name": "SELENE",
        "credential": "ARNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201907254NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201708979RN",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61013196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50776456",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.