Active NPI
Nicki Lynn Rogers, NP
- Women's Health Nurse Practitioner
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 201408658NP-PP
- Practice address
- 19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707 - Phone
- (503) 692-1242
- Fax
- (503) 691-3615
- NPI assigned
- Feb 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 201408658NP-PP | OR | Primary |
Addresses
Primary practice location
19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707
Mailing address
7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500704873 | Medicaid | OR |
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19250 SW 65TH Ave
Suite 325
Tualatin, OR 97062-7452
Phone (503) 692-1242
9701 SW Barnes Rd
Portland, OR 97225-6689
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Healthcare Associates, LLC | Current | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients |
Locations
7431 NE Evergreen Pkwy
Ste 100
Hillsboro, OR 97124
Phone (503) 840-3400
7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615
9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700
19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242
Interoperability endpoints
- nrogers144287@direct.lhs.org
Organizations & group practices 2
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 1346296142
-
- Specialist
- Portland, OR
- NPI 1629461397
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1962671412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 SW 65TH AVE STE 300",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627707",
"telephone_number": "503-692-1242",
"fax_number": "503-691-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "NICKI",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "201408658NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500704873",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.