Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Amanda J. Shields, ANP-PP

Individual provider Adult Health Nurse Practitioner · NPI 1417026410

MS. Amanda J. Shields, ANP-PP is a Nurse Practitioner in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group and accepts Medicare assignment. Licensed in Hawaii and Oregon.

Years since qualifying
27
Licensed in
HI, OR
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 200850093NP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN-220 (HI)

Record details

NPI number1417026410
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-PP
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland