| Misty Van Cleave, DNP FNP | |
|
Legacy Gohealth Urgent Care Gresham, 2850 Se Powell Valley Rd., Ste. 100, Gresham, OR 97080 | |
| (505) 050-3666 | |
| Not Available |
| Full Name | Misty Van Cleave |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | Legacy Gohealth Urgent Care Gresham, Gresham, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285305870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 202110509NP-PP (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Professional Services | 4880760107 | 1683 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Kaiser Foundation Health Plan of the Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Northwest Acute Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Van Cleave, DNP FNP 7103 Se Sherrett St, Portland, OR 97206-8727 Ph: (503) 545-7213 | Misty Van Cleave, DNP FNP Legacy Gohealth Urgent Care Gresham, 2850 Se Powell Valley Rd., Ste. 100, Gresham, OR 97080 Ph: (505) 050-3666 |
Andrew E Vilius, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 955 Ne 3rd St, Gresham, OR 97030 Phone: 503-491-5896 |
Krista Fuqua, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2072 Ne Burnside Rd, Gresham, OR 97030 Phone: 971-436-2560 |
Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 |
Sommer Verley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 |
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 |
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155 |
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 |