JOANNE T EDDINGTON (FNP) – Family Nurse Practitioner, NPI 1417950015

JOANNE T EDDINGTON (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 200050047NP (OR). The NPI Number for JOANNE T EDDINGTON (FNP) is 1417950015

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JOANNE T EDDINGTON (FNP)
NPI
1417950015
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
27 May 2005
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032166300
Graduation Year
2000 (26 years ago)
PAC ID
5991710311
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20080910000138
Address ID
OR972256784PO9135XRDXX401

Contacts

Secure Messaging
jeddington109694@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for JOANNE T EDDINGTON (FNP)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Fax: (503) 215-6644

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    STE 261

    PORTLAND, OR 972256784

    Phone: (503) 216-6300

    Fax: (503) 203-1010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Genentech USA, Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$122
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080910000138INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4633$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
Nurse PractitionerOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA

Reviews

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Frequently asked questions

What federal number belongs to JOANNE T EDDINGTON (FNP)?
The federal identifier for JOANNE T EDDINGTON (FNP) is NPI 1417950015.
Is JOANNE T EDDINGTON (FNP) currently active in the NPI registry?
CMS-published data lists JOANNE T EDDINGTON (FNP) as an active registrant.
Can you summarize JOANNE T EDDINGTON (FNP)'s specialty in plain language?
Clinically, the directory lists JOANNE T EDDINGTON (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JOANNE T EDDINGTON (FNP) practice in Oregon?
You will see Portland, Oregon on file for JOANNE T EDDINGTON (FNP) alongside any extra practice locations.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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