Individual provider Active NPI

Tyler Hunt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Keizer, OR
National Provider Identifier
1114762432
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10028036 Issued in OR
Practice address
3787 River Rd N Ste a
Keizer, OR 97303-4899
Phone
(503) 877-3137
Fax
(865) 276-0613
NPI assigned
Jun 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 10028036 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10028036 OR Primary

Addresses

Primary practice location

3787 River Rd N Ste a
Keizer, OR 97303-4899

Mailing address

3787 River Rd N Ste a
Keizer, OR 97303-4899
Phone (503) 877-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 11, 2025 through Jul 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10028036ORMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Hunt Pmhnp-BC LLC Mental Health (Including Community Mental Health Center) Current Accepting new patients

Locations

3787 River Rd N
Ste A
Keizer, OR 97303
Phone (503) 763-1778

Organizations & group practices 1

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1114762432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034899",
            "telephone_number": "503-877-3137",
            "fax_number": "865-276-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034899",
            "telephone_number": "503-877-3137",
            "fax_number": "865-276-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "TYLER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "10028036",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10028036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.