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

Staci Colovos, ACNP

Individual provider Nurse Practitioner · NPI 1366786261

Staci Colovos, ACNP is a Nurse Practitioner in Portland, Oregon. Graduated from University of California, San Francisco School of Medicine in 2012, 14 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
14
Trained at
University of California, San Francisco School of Medicine
Licensed in
OR, UT
In the registry since
2012
Specialties on file
3
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-7246
Fax: (503) 346-6961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4401 Harrison Blvd, Ogden, UT 84403 — (801) 627-2800

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201403204NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 201403204NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 6527571-4405 (UT)

Record details

NPI number1366786261
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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