Active NPI
Johnni Jo Cansler, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1144709403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10002824
- Practice address
- 4225 SW Huber St Ste 300
Portland, OR 97219-6140 - Phone
- (931) 494-0456
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1518718477
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Hopkinsville, KY
- NPI 1033861836
Psychiatric/Mental Health
-
- Public Health or Welfare Agency
- Coos Bay, OR
- NPI 1063576908
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coos County Oregon
Practice addresses (Care Compare)
281 Laclair St
Coos Bay, OR 97420-2988
Phone (541) 266-6700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903001019 | OR | Practitioner - Nurse Practitioner | 6204263015 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002824 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divurgent Solutions, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Therapeutic Medical Weight Loss, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
308 W 15th St
Hopkinsville, KY 42240
Phone (270) 660-8866
4225 SW Huber St
Ste 300
Portland, OR 97219
Phone (503) 893-2307
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3014202 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10002824 | OR | Primary |
Addresses
Primary practice location
4225 SW Huber St Ste 300
Portland, OR 97219-6140
Mailing address
4225 SW Huber St Ste 300
Portland, OR 97219-6140
Phone (931) 494-0456
NPI Registry JSON
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1144709403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 SW HUBER ST STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196140",
"telephone_number": "931-494-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 SW HUBER ST STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196140",
"telephone_number": "931-494-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANSLER",
"first_name": "JOHNNI",
"middle_name": "JO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3014202",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10002824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.