MICHELE NETH DICKSON (ARNP) – Family Nurse Practitioner, NPI 1619957990
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
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Provider Addresses for MICHELE NETH DICKSON (ARNP)
The Portland Clinic, 15950, Southwest Millikan Way, Beaverton, Metro, Washington County, Oregon, 97003, United States
BEAVERTON, OR 97003
Phone: (503) 646-0161
Type: Mailing
12123 SW 69TH AVE
TIGARD, OR 972238514
Phone: (971) 708-7600
Fax: (971) 371-5230
Type: Location
1498 SE TECH CENTER PL STE 240
VANCOUVER, WA 986835508
Phone:
Type: Mailing
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-01-26 • Largest payer in this snapshot: PFIZER INC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $17 |
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: 2011-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050907001040 | I | Nurse Practitioner | WA | TBD |
| I20110118000998 | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 97003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OR | |
| Medical Oncology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Radiation Oncology | WA | |
| Physician Assistant | CA | |
| General Surgery | WA | |
| - | WA | |
| Physician Assistant | OR | |
| Radiation Oncology | GA |
Reviews
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