RACHEL M DUMMIGAN FNP
NPI 1629121959
Nurse Practitioner - Family in Portland, OR
NPI Status: Active since January 19, 2007
Contact Information
426 SW STARK ST
8TH FLOOR
PORTLAND, OR
ZIP 97204
Phone: (503) 988-3674
Fax: (503) 988-6261
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About RACHEL DUMMIGAN
This page provides the complete NPI Profile along with additional information for Rachel Dummigan, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1629121959 assigned on January 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 090006728N1 (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1629121959
- Provider Name
- RACHEL M DUMMIGAN FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204
- Location Phone
- (503) 988-3674
- Location Fax
- (503) 988-6261
- Mailing Address
- 421 SW OAK ST STE. 210 PORTLAND, OR 97204
- Mailing Phone
- (503) 988-7468
- Mailing Fax
- (503) 988-6261
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 02-21-2014
- Code Navigator
A nurse practitioner (NP) like Rachel Dummigan is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 090006728N1
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P31340 | MEDICARE UPIN (02) | OR | |
| 108535 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR |
Medicare Participation & PECOS Enrollment Status
Rachel Dummigan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97204 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.51
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.51
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 98% | 88 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 70% | 91 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Influenza Immunization | 36% | 528 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 64% | 588 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 1 | 2 | 1 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 2 | 2 | 2 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 2 + 2 + 2 + 9 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1629121959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730158890 | MS. DEBBY PARRISH RPH Individual | Pharmacist | 426 SW STARK ST 4TH FLOOR PORTLAND, OR 97204 (503) 988-3663 |
| 1336237197 | ARTHUR L DOWNARD PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 426 SW STARK ST PORTLAND, OR 97204 (593) 988-5140 |
| 1194876763 | DR. OLE LLOYD ANDERSON ERSSON MD Individual | Family Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-5033 |
| 1003968389 | DR. STEVEN COLIN JACKSON MD Individual | Family Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1871645093 | DR. MARK NELSON MARGOLES MS Individual | Family Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1215089537 | MARGARET ZEBROSKI PA Individual | Physician Assistant | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1639221864 | DR. KAREN SUE MARKS MD Individual | General Practice | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1114079472 | DR. WAYNE DOUGLAS ENGLANDER MD Individual | Internal Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1053463224 | DR. GUADALUPE TOLEDO DO Individual | Pediatrics | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1548312754 | PETER NICHOLAS MAHR MD Individual | Family Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1043362312 | DR. RICHARD PAUL HOULE MD Individual | Internal Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1407908650 | DR. RAISA PREMYSLER MD Individual | General Practice | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1275685455 | DR. SONG JIN SUNNY KIM MD Individual | Internal Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1154473312 | DR. AMIT RAJNI SHAH MD Individual | Family Medicine | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1124170386 | DR. LISA ANN SPRAGUE MD Individual | Obstetrics & Gynecology | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1790837037 | CATHY C SPOFFORD LCSW Individual | Social Worker (Clinical) | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1578616710 | AMY MARIE GALASSO WHCNP Individual | Nurse Practitioner (Women's Health) | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1023161270 | KATHLEEN MARY GLOVER PNP Individual | Nurse Practitioner (Pediatrics) | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1962555128 | DIANE T GUTA FNP Individual | Nurse Practitioner (Family) | 426 SW STARK ST 8TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
| 1669525820 | DEBRA MARY HEYBACH FNP Individual | Nurse Practitioner (Family) | 426 SW STARK ST 5TH FLOOR PORTLAND, OR 97204 (503) 988-3674 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629121959, enumerated in the NPI registry as an "individual" on January 19, 2007
The provider is located at 426 Sw Stark St 8th Floor Portland, Or 97204 and the phone number is (503) 988-3674
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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