Individual provider Active NPI

Romnee Lynn Auerbach, ANP-BC,PMHS,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1104970508
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200650168NP Issued in OR
Practice address
501 E 1St St
Newberg, OR 97132-2909
Phone
(503) 378-4874
Fax
(503) 378-1271
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200650168NP OR Primary
Adult Health Nurse Practitioner 363LA2200X 088000343N3 OR

Addresses

Primary practice location

501 E 1St St
Newberg, OR 97132-2909

Mailing address

501 E 1St St
Newberg, OR 97132-2909
Phone (503) 538-4874

Other identifiers 1

IdentifierTypeStateIssuer
165554MedicaidOR

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
I20080207000620 OR Practitioner - Nurse Practitioner 5991888380 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088000343N3ORMDAdult Health Nurse Practitioner
200650168NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 26, 2017 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 26, 2017 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 5, 2020 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 5, 2020 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Chehalem Youth and Family Services Past Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

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

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

Organizations & group practices 8

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1104970508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322909",
            "telephone_number": "503-538-4874",
            "fax_number": "503-538-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322909",
            "telephone_number": "503-378-4874",
            "fax_number": "503-378-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "ROMNEE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ANP-BC,PMHS,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200650168NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "088000343N3",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165554",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.