Individual provider Active NPI

Matthew David Piehler, PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1023629136
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202102358NP-PP Issued in OR
Practice address
2045 Silverton Rd NE Ste B
Salem, OR 97301-0100
Phone
(503) 588-5351
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202102358NP-PP OR Primary

Addresses

Primary practice location

2045 Silverton Rd NE Ste B
Salem, OR 97301-0100

Mailing address

21750 Hardy Oak Blvd
Ste 104, PMB 36568
San Antonio, TX 78258-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210205000769 TX Practitioner - Nurse Practitioner 1658785464 Reassigns benefits to 1 organization
I20210624003860 OR Practitioner - Nurse Practitioner 1658785464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 576-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Jun 28, 2021 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 4, 2021 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatric/Mental Health CurrentSince Jan 4, 2021 Accepting new patients
Marion County CurrentSince Jun 28, 2021 Accepting new patients
Jaime Nelson Pmhnp PastSince Aug 1, 2020 Accepting new patients

Locations

2045 Silverton Rd NE
Ste B
Salem, OR 97301
Phone (503) 364-3047

3180 Center St NE
Ste 2100
Salem, OR 97301
Phone (503) 378-7526

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1631 E 2nd St
Ste D
Austin, TX 78702
Phone (512) 804-3600

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1023629136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21750 HARDY OAK BLVD",
            "address_2": "STE 104, PMB 36568",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEHLER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202102358NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.