IndividualActive
Kari Zisa, AGACNP
NPI 1669924544 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1669924544
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- ARNP9325339 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2906
Street-level locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (1)
- 6500 W Newberry RdGainesville, FL 32605-4309Phone: (352) 333-4000
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.