Active NPI
Katy C Stropnicky, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1902139462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201150170NP
- Practice address
- 15640 NW Laidlaw Rd
Suite 105
Portland, OR 97229-3828 - Phone
- (503) 764-0100
- Fax
- (503) 764-0166
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201150170NP | OR | Primary |
| Nurse Practitioner | 363L00000X | RN280650 | MA |
Addresses
Primary practice location
15640 NW Laidlaw Rd
Suite 105
Portland, OR 97229-3828
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110083778A | Medicaid | MA | |
| 500642653 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kstropnicky239115@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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 410
Portland, OR 97210-2911
Phone (503) 229-7137
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NGC Endoscopy Services LLC | Current | Accepting new patients | |
| Northwest Gastroenterology Clinic LLC | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Past | Accepting new patients | |
| Lahey Clinic, Inc | Past | Accepting new patients | |
| Lahey Clinic, Inc. | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137
Interoperability endpoints
- kstropnicky1499192@direct.lhs.org
Organizations & group practices 5
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.
-
- Specialist
- Portland, OR
- NPI 1407933872
-
- Ambulatory Surgical Clinic/Center
- Portland, OR
- NPI 1366529638
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1902139462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15640 NW LAIDLAW RD",
"address_2": "SUITE 105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293828",
"telephone_number": "503-764-0100",
"fax_number": "503-764-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROPNICKY",
"first_name": "KATY",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201150170NP",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN280650",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110083778A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500642653",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kstropnicky239115@oc.providencedirect.org",
"affiliation": "N",
"address_1": "15640 NW Laidlaw Rd Ste 102",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972293828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Mar 25, 2021; 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.