Nicole M Rudy, CNM - Medicare Advanced Practice Midwife in Tualatin, OR

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Nicole M Rudy, CNM is a medicare enrolled "Advanced Practice Midwife" in Tualatin, Oregon. Her current practice location is 19250 Sw 65th Ave Ste 300, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 692-1242.

Nicole M Rudy is licensed to practice in Oregon (license number 201707449NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023510161.

Contact Information

Nicole M Rudy, CNM
19250 Sw 65th Ave Ste 300,
Tualatin, OR 97062-7707
(503) 692-1242
(503) 691-3615

Map and Direction




Provider's Profile

Full NameNicole M Rudy
GenderFemale
SpecialityAdvanced Practice Midwife
Location19250 Sw 65th Ave Ste 300, Tualatin, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023510161
  • Provider Enumeration Date: 03/05/2018
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628333630
  • Enrollment ID: I20180522002117

Medical Identifiers

Medical identifiers for Nicole M Rudy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023510161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 201707449NP-PP (Oregon)Primary

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. Nicole M Rudy allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameWomens Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346296142
PECOS PAC ID: 8527054014
Enrollment ID: O20040421000823

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. Nicole M Rudy 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
Nicole M Rudy, CNM
7650 Sw Beveland Rd Ste 200,
Portland, OR 97223-8692

Ph: (503) 601-3615		Nicole M Rudy, CNM
19250 Sw 65th Ave Ste 300,
Tualatin, OR 97062-7707

Ph: (503) 692-1242

Reviews and Comments


Advanced Practice Midwife Nurses in Tualatin, OR

Anna Luisa Raffaelli, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615
Ms. Nancy Ann Macy, WHCNP CNM
Advanced Practice Midwife
Medicare: May Accept Medicare Assignments
Practice Location: 19365 Sw 65th Ave Ste 105, Tualatin, OR 97062
Phone: 503-454-0018    Fax: 503-848-3471
Jane Elizabeth Adkins Nath, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615

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.