STACI COLOVOS ACNP NPI 1366786261

NPI Information

  • NPI: 1366786261
  • Provider Name: STACI COLOVOS, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3303 S BOND AVE
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-7246

Map and Directions

Get Directions

NPI Details

Staci Colovos, ACNP is an acute care nurse practitioner in Portland, OR with 14 years of experience. Staci Colovos, ACNP NPI is 1366786261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

3303 S BOND AVE
PORTLAND, OR
ZIP 97239-501
Phone: (503) 494-7246
Fax: (503) 346-6961

The NPI 1366786261 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Daily hospital management of continuous spinal drug administration (HCPCS:01996)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 11/15/2012 and was last updated on 8/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner201403204NP-PPOREGONNo
2363LA2100XNurse PractitionerAcute Care6527571-4405UTAHNo
3363LA2100XNurse PractitionerAcute Care201403204NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.