Individual provider Active NPI

Narda Melissa Sherman, P.A.-C

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1922192764
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
501 N Graham St
Suite 555
Portland, OR 97227-1654
Phone
(503) 288-7535
Fax
(503) 288-7538
NPI assigned
Oct 3, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 212895 AK
Medical Physician Assistant 363AM0700X NU Primary
Surgical Physician Assistant 363AS0400X PA00799 OR

Addresses

Primary practice location

501 N Graham St
Suite 555
Portland, OR 97227-1654

Mailing address

16420 SE Division Street
Portland Metro Treatment Center
Portland, OR 97236-1987
Phone (503) 762-3130

Other practice location 1

350 14th Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

Other identifiers 1

IdentifierTypeStateIssuer
1747558MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050912001077 OR Practitioner - Physician Assistant 7416980313 Reassigns benefits to 2 organizations
I20201015002932 WA Practitioner - Physician Assistant 7416980313 Reassigns benefits to 1 organization
I20240610001594 AK Practitioner - Physician Assistant 7416980313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Municipality of SkagwayGroup PAC ID 0244227726, 12 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050

350 14TH Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

4800 SW 76TH Ave
Portland, OR 97225-1804
Phone (971) 808-0665

9361 SE 82ND Ave
Happy Valley, OR 97086-3645
Phone (503) 457-4301

PO Box
Skagway, AK 99840

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
212895AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Jun 8, 2015 Accepting new patients
Surgical Center, Inc Past Accepting new patients
The Oregon Clinic, PC Past Accepting new patients
Mobilmed Past Accepting new patients

Locations

22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

2850 SE Powell Valley Rd
Ste 100
Gresham, OR 97080
Phone (503) 666-5050

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

Interoperability endpoints

  • Direct secure messaging: narda.sherman.1@15635.direct.athenahealth.com

Organizations & group practices 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1922192764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE DIVISION STREET",
            "address_2": "PORTLAND METRO TREATMENT CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361987",
            "telephone_number": "503-762-3130",
            "fax_number": "503-288-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 555",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-288-7535",
            "fax_number": "503-288-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Skagway",
            "state": "AK",
            "postal_code": "998400537",
            "country_code": "US",
            "telephone_number": "907-983-2255",
            "fax_number": "907-983-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "NARDA",
        "middle_name": "MELISSA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "212895",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1747558",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.