Individual provider Active NPI

Rebecca Michelle Berman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1083047385
Registry record updated Aug 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201391438NP-PP Issued in OR
Practice address
6034 NE Sandy Blvd
Portland, OR 97213-3963
Phone
(503) 939-6867
NPI assigned
Aug 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2013

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 201391438NP-PP OR Primary

Addresses

Primary practice location

6034 NE Sandy Blvd
Portland, OR 97213-3963

Mailing address

5215 NE 52ND Ave
Portland, OR 97218-1907
Phone (503) 939-6867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131010000165 OR Practitioner - Nurse Practitioner 7810121696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

1475 Mount Hood Ave
Suite 160
Woodburn, OR 97071-9263
Phone (971) 983-5214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201391438NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Nov 21, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 16, 2013 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 16, 2013 Accepting new patients
Silverton Health CurrentSince Nov 21, 2024 Accepting new patients

Locations

5685 Inland Shores Way N
Keizer, OR 97303
Phone (503) 779-2271

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2800 N Vancouver Ave
Ste 230
Portland, OR 97227
Phone (503) 413-2901

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Ste 160
Woodburn, OR 97071
Phone (971) 983-5214

Organizations & group practices 7

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": "1376092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376092800000",
    "number": "1083047385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 NE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181907",
            "telephone_number": "503-939-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133963",
            "telephone_number": "503-939-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "REBECCA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-10",
        "last_updated": "2013-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201391438NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.