Colton Jordon-michael Hafeman, DNP, FNP-BC in Tigard, OR

Colton Jordon-michael Hafeman, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Tigard, Oregon. His current practice location is 10215 Sw Hall Blvd, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 245-2415.

Colton Jordon-michael Hafeman is licensed to practice in Oregon (license number 202007873NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639643943.

Contact Information

	Colton Jordon-michael Hafeman, DNP, FNP-BC
	10215 Sw Hall Blvd, Tigard, OR 97223-8809
	(503) 245-2415
	Not Available

Map and Direction

Provider's Profile

Full Name	Colton Jordon-michael Hafeman
Gender	Male
Speciality	Nurse Practitioner - Family
Location	10215 Sw Hall Blvd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639643943
Provider Enumeration Date: 01/20/2019
Last Update Date: 05/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2062807712
Enrollment ID: I20240729004202

Medical Identifiers

Medical identifiers for Colton Jordon-michael Hafeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639643943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202007873NP-PP (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colton Jordon-michael Hafeman allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colton Jordon-michael Hafeman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Colton Jordon-michael Hafeman, DNP, FNP-BC 12388 Nw Ashton Dr, Banks, OR 97106-6051 Ph: (503) 313-9187	Colton Jordon-michael Hafeman, DNP, FNP-BC 10215 Sw Hall Blvd, Tigard, OR 97223-8809 Ph: (503) 245-2415

Reviews and Comments

Nurse Practitioner Nurses in Tigard, OR

Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856
Kecia Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334
Kailey Windsor, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 503-603-9087 Fax: 503-603-9122
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756
Lindsey Campbell Gustafson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920
Martina D Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223 Phone: 877-448-3627
Dr. Gretchen Randolph, PH.D, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13635 Sw 115th Ave, Tigard, OR 97223 Phone: 503-968-1155

Colton Jordon-michael Hafeman, DNP, FNP-BC - Medicare Nurse Practitioner in Tigard, OR