Individual provider Active NPI

Luciana Arcas, DNP, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1902237613
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202202710NP-PP Issued in OR
Practice address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone
(971) 202-5500
Fax
(971) 202-5555
NPI assigned
Dec 5, 2013
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201243946RN OR
Registered Nurse 163W00000X RN 60385221 WA
Family Nurse Practitioner 363LF0000X 202202710NP-PP OR Primary

Addresses

Primary practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Mailing address

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5500

Other practice location 1

1950 SW Camelot Ct
Apt 601
Portland, OR 97225-3745
Phone (503) 805-1186

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
I20220523002050 OR Practitioner - Nurse Practitioner 4183001662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fanno Creek Clinic LLCGroup PAC ID 0042100521, 24 clinicians

Practice addresses (Care Compare)

2400 SW Vermont St
Portland, OR 97219-1940
Phone (503) 452-0915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 60385221WAMDRegistered Nurse
202202710NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Clinic LLC Current Accepting new patients
Fanno Creek Clinic LLC CurrentSince Feb 1, 2024 Accepting new patients
Housecall Providers Inc Current Accepting new patients

Locations

2400 SW Vermont St
Portland, OR 97219
Phone (503) 452-0915

5100 S Macadam Ave
Ste 200
Portland, OR 97239
Phone (971) 202-5500

Interoperability endpoints

  • Direct secure messaging: lucianaarcas@hpi.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1902237613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 SW Camelot Ct",
            "address_2": "Apt 601",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972253745",
            "country_code": "US",
            "telephone_number": "503-805-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCAS",
        "first_name": "LUCIANA",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2022-04-29",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201243946RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 60385221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202202710NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.