Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861589681 Individual Practitioner Female Practitioner

Dr. Nancy Kelly Johnson , MD

Pediatrics • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Johnson, MD is a registered healthcare professional specializing in Pediatrics in Portland, OR. Practice services are available at 11790 SW BARNES RD STE 140 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11790 Sw Barnes Rd Ste 140

Portland, OR 972255938

Telephone 5036460161
Fax 5036437459
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
282 Specialists

Practicing in Portland, OR (880 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD17293

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
058474 (OR)

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. David Pierce , MD

Family Medicine

NPI 1053408724

Doctor of Medicine (M.D.)

Dr. Margie Nielsen , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1124557715

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Helena Pang

Internal Medicine

NPI 1225418874
Ashley Crabb , NP

Nurse Practitioner - Adult Health

NPI 1295596492

Nurse Practitioner

Dr. Gary Kim , MD

Internal Medicine

NPI 1306820667

Doctor of Medicine (M.D.)

NPI 1396836870

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 21, 2021

Registered at 11790 SW BARNES RD STE 140, PORTLAND, OR 972255938 (Tel: 5036460161)

📍
Updated Business Mailing Address October 21, 2021

Registered at 11790 SW BARNES RD STE 140, PORTLAND, OR 972255938 (Tel: 5036432100)

NPI Profile Active July 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2012

Registered at 15950 SW MILLIKAN WAY, BEAVERTON, OR 97006 (Tel: 5036460161)

📍
Updated Business Mailing Address July 03, 2012

Registered at 15950 SW MILLIKAN WAY, BEAVERTON, OR 97006 (Tel: 5036460161)

👤
Provider Name / Credentials Updated July 03, 2012

Recorded as NANCY JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2012

Pediatrics (License #MD17293 in OR)

🟢
Initial NPI Registration & Enumeration October 05, 2006

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: 1861589681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: October 21, 2021
Sole Proprietor: Yes

Mailing Address

11790 Sw Barnes Rd Ste 140

Portland, OR 972255938

Phone: 5036432100

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.