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Active NPI 1659825651 Individual Practitioner Male Practitioner

Nathan Grey Lystrup , FNP

Nurse Practitioner - Family • Boardman, OR

Professional Overview & Biography Verified Profile Summary

Nathan Lystrup, FNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Boardman, OR. Practice services are available at 450 TATONE ST under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, hemoglobin a1c level, by device for home use, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 Tatone St

Boardman, OR 978188076

Telephone 5414817212
Fax 5414812020
Associated Practice Facility / Clinic
🏢 Columbia River Health Facility NPI 1710084140

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Boardman, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Boardman, OR (2410 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
43 35 $27.12 $2.92
83037 Hemoglobin a1c level, by device for home use
33 28 $34.00 $9.36

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OR 201605983NP-PP

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OR 201605982RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Robert Boss , MD

Internal Medicine

NPI 1013900646

Doctor of Medicine (M.D.)

NPI 1194901785

Doctor of Osteopathic Medicine (D.O.)

Nyle Gunter , PA-C

Physician Assistant

NPI 1235753815

Physician Assistant (Certified)

NPI 1396740585

Doctor of Osteopathic Medicine (D.O.)

Martha Reyna , ARNP

Nurse Practitioner - Family

NPI 1417820135

Advanced Registered Nurse Practitioner

Josselyn Guillen , CHW

Community Health Worker

NPI 1437031465

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2016

Registered at 450 TATONE ST, BOARDMAN, OR 978188076 (Tel: 5414817212)

📍
Updated Business Mailing Address August 08, 2016

Registered at 1967 NE 2ND ST, HERMISTON, OR 978381721 (Tel: 7025964157)

👤
Provider Name / Credentials Updated August 08, 2016

Recorded as NATHAN LYSTRUP, F.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Registered Nurse (License #201605982RN in OR)

🟢
Initial NPI Registration & Enumeration August 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659825651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2016
Last Update: August 08, 2016
Sole Proprietor: Yes

Mailing Address

1967 Ne 2nd St

Hermiston, OR 978381721

Phone: 7025964157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.