TAWNA RENEE PANGBORN (FNP) – Family Nurse Practitioner, NPI 1619969771

TAWNA RENEE PANGBORN (FNP) is a healthcare provider. based in Tualatin, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 200450062NP (OR). The NPI Number for TAWNA RENEE PANGBORN (FNP) is 1619969771

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TAWNA RENEE PANGBORN (FNP)
NPI
1619969771
Phone
(503) 692-3750
Address
19250 SW 90TH AVE
Enumeration Date
16 August 2005
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032801223
Graduation Year
2004 (22 years ago)
PAC ID
7911934930
Group Practice PAC ID
8426943838
Professional Enrollment ID
I20050721000442

Contacts

Secure Messaging
cc_otoc_gastro_south_front_desk_pool12223286@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

Provider Addresses for TAWNA RENEE PANGBORN (FNP)

  • 19250 SW 90TH AVE

    TUALATIN, OR 970627585

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

  • 19260, Southwest 65th Avenue, Tualatin, Metro, Clackamas County, Oregon, 97062, United States

    SUITE 435

    TUALATIN, OR 970625701

    Phone: (503) 692-2032

    Fax: (503) 692-4450

    Type: Mailing

  • 1508 Division St Ste 15

    Oregon City, OR 970451583

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

  • 879 N Providence Dr

    Newberg, OR 971327563

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$32
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: 2010-10-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050721000442INurse PractitionerORTBD
I20101018000903INurse PractitionerWATBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count282141$0
80053Blood test, comprehensive group of blood chemicals234133$0
36415Insertion of needle into vein for collection of blood sample217121$0
99215Established patient office or other outpatient visit, 40-54 minutes209123$0
99214Established patient office or other outpatient visit, 30-39 minutes13890$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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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: 8426943838View full group profile
NameSpecialtyState
Radiation OncologyOR
Medical Oncology, Internal MedicineOR
-OR
-OR
Radiation OncologyWA
Physician AssistantCA
Physician AssistantAL
-WA
Physician AssistantOR
Radiation OncologyGA

Reviews

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Frequently asked questions

What is the standard ID for TAWNA RENEE PANGBORN (FNP) in the U.S.?
In the U.S., TAWNA RENEE PANGBORN (FNP) is identified by NPI 1619969771.
Is TAWNA RENEE PANGBORN (FNP)'s NPI status active today?
Active status means TAWNA RENEE PANGBORN (FNP)'s NPI record is not deactivated in the public file.
Which specialty label fits TAWNA RENEE PANGBORN (FNP)?
NPPES ties TAWNA RENEE PANGBORN (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TAWNA RENEE PANGBORN (FNP)?
The directory associates TAWNA RENEE PANGBORN (FNP) with Tualatin, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains TAWNA RENEE PANGBORN (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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