Individual provider Active NPI

Stephanie Love Cypress, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1124762240
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202204365NP-PP Issued in OR
Practice address
911 NE 4TH St Ste 1
Bend, OR 97701-4647
Phone
(541) 848-0778
Fax
(844) 927-4453
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 202204365NP-PP OR Primary

Addresses

Primary practice location

911 NE 4TH St Ste 1
Bend, OR 97701-4647

Mailing address

700 NW Hill St Ste 4
Bend, OR 97703-2960
Phone (541) 848-0778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202204365NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Psychiatric Care, LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

45 NW Greeley Ave
Bend, OR 97703
Phone (541) 205-9159

911 NE 4th St
Ste 1
Bend, OR 97701
Phone (541) 848-0778

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1124762240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW HILL ST STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032960",
            "telephone_number": "541-848-0778",
            "fax_number": "844-927-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NE 4TH ST STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014647",
            "telephone_number": "541-848-0778",
            "fax_number": "844-927-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYPRESS",
        "first_name": "STEPHANIE",
        "middle_name": "LOVE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202204365NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.