Katie Mansour, FNP - Medicare Nurse Practitioner in Portland, OR

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Katie Mansour, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tuality Medical Group Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7500.

Katie Mansour is licensed to practice in Oregon (license number 201608205NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760918387.

Contact Information

Katie Mansour, FNP
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239
(503) 494-7500
(503) 494-4997

Map and Direction




Provider's Profile

Full NameKatie Mansour
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katie Mansour graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1760918387
  • Provider Enumeration Date: 05/02/2017
  • Last Update Date: 07/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789957838
  • Enrollment ID: I20170912001177

Medical Identifiers

Medical identifiers for Katie Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760918387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201608205NP-PP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tuality Community HospitalHillsboro, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tuality Medical Group Llc7416173414239

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Mansour allows following entities to bill medicare on her behalf.
Entity NameTuality Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275591984
PECOS PAC ID: 3678486107
Enrollment ID: O20040130000359
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215910302
PECOS PAC ID: 7012827876
Enrollment ID: O20040226000131
Entity NameBridge City Family Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548330715
PECOS PAC ID: 7810988292
Enrollment ID: O20040524000631
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Mansour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Mansour, FNP
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7500		Katie Mansour, FNP
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239

Ph: (503) 494-7500

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.