LILY A UZZAMAN (FNP STUDENT) – Family Nurse Practitioner, NPI 1558968594
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for LILY A UZZAMAN (FNP STUDENT)
51377 SW OLD PORTLAND RD STE C
SCAPPOOSE, OR 970564023
Phone: (503) 418-4222
Type: Mailing
52377 SW OLD PORTLAND RD
SUITE C
SCAPPOOSE, OR 97056
Phone: (503) 418-4222
Type: Location
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-7551
Type: Location
5329 NE MLK JR BLVD
PORTLAND, OR 972113237
Phone:
Type: Mailing
5329 NE MLK BLVD
PORTLAND, OR 972113237
Phone: (503) 988-5558
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221007002524 | I | Nurse Practitioner | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 47 | 34 | $0 |
Insurance plans in this area (ZIP 97056)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| Family Practice | RI |
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