BRIANNA MORTIER (PA) – Medical Physician Assistant, NPI 1679293831

BRIANNA MORTIER (PA) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA221016 (OR). The NPI Number for BRIANNA MORTIER (PA) is 1679293831

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BRIANNA MORTIER (PA)
NPI
1679293831
Phone
(541) 520-4664
Address
2730 S Moody Ave
Enumeration Date
29 August 2022
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5417828304
Graduation Year
2024 (2 years ago)
PAC ID
6305374992
Group Practice PAC ID
3476786609
Professional Enrollment ID
I20250109003835
Address ID
OR974639572OA4781558XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for BRIANNA MORTIER (PA)

  • 2730 S Moody Ave

    Portland, OR 972015042

    Phone: (541) 520-4664

    Type: Location

  • 2730 S MOODY AVE

    PORTLAND, OR 972015042

    Phone:

    Type: Mailing

  • 47815 HIGHWAY 58

    OAKRIDGE, OR 974639572

    Phone:

    Type: Mailing

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: 2025-01-09

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
I20250109003835IPhysician AssistantORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97201)

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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: 3476786609View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
Physician AssistantFL
Clinical Social WorkerOR
Physician AssistantOR
N E U R O L O G YCA
Nurse PractitionerOR
Mental Health CounselorOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

What identifier follows BRIANNA MORTIER (PA) across health systems?
The NPI 1679293831 uniquely identifies BRIANNA MORTIER (PA) in U.S. healthcare data.
Is BRIANNA MORTIER (PA)'s NPI status active today?
Active status means BRIANNA MORTIER (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits BRIANNA MORTIER (PA)?
NPPES ties BRIANNA MORTIER (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRIANNA MORTIER (PA)?
BRIANNA MORTIER (PA) is associated with Portland, Oregon in the same public data insurers reference.
Can I export BRIANNA MORTIER (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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