Individual provider Active NPI

Rebecca Riley Moyes, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1073163408
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202108941NP-PP Issued in OR
Practice address
257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757
Phone
(971) 368-1045
Fax
(971) 233-6398
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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 202108941NP-PP OR Primary

Addresses

Primary practice location

257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757

Mailing address

257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757
Phone (971) 368-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 27, 2023 through Jun 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200141627RNORMDRegistered Nurse
202108941NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Betts Psychiatric PC Psychiatric/Mental Health CurrentSince May 28, 2023 Accepting new patients
Two River Psychiatry Psychiatric/Mental Health CurrentSince Jun 11, 2023 Accepting new patients

Locations

257 SW Madison Ave
Ste 209
Corvallis, OR 97333
Phone (614) 420-5093

725 Country Club Rd
Eugene, OR 97401
Phone (541) 505-8621

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1073163408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 209",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "971-368-1045",
            "fax_number": "971-233-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 209",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "971-368-1045",
            "fax_number": "971-233-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYES",
        "first_name": "REBECCA",
        "middle_name": "RILEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202108941NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.