Ayumi Mizuno, AGNP-C
NPI 1215730031ActiveIndividual· Nurse Practitioner, Adult Health· Tualatin, OR
Nurse Practitioner, Adult Health (AGNP-C) with Spinal Diagnostics PC, practicing in Tualatin, Oregon. Enrolled in Medicare as practitioner - nurse practitioner. Abbott Laboratories was the largest of 3 companies reporting payments in 2025, $1,611 in all, mostly travel and lodging. Lists Legacy Meridian Park Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1215730031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | No |
| NPI issued | Mar 28, 2025 |
| Last updated in NPPES | Feb 23, 2026 |
| Certified by provider | Feb 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 10031967 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Spinal Diagnostics PCTualatin, OR · 4 clinicians
Hospital affiliations
- Legacy Meridian Park Medical CenterTualatin, OR
- Providence Newberg Medical CenterNewberg, OR
- Providence St Vincent Medical CenterPortland, OR
- Providence Willamette Falls Medical CenterOregon City, OR
- Salem HospitalSalem, OR
Industry payments (Open Payments)
- 2025$1,611 · 10 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $950.71 | 6 |
| Mml US, Inc. | $642.83 | 3 |
| Nalu Medical, Inc. | $17.65 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,344 · 7 payments
- Food and Beverage$267.35 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Tualatin
- 1245211374
- 1407141765