Individual provider Active NPI

Ryan R Macphee, RN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1144822024
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10025938 Issued in OR
Practice address
314 NE 19TH Ave
Portland, OR 97232-2829
Phone
(415) 515-4385
Fax
(415) 481-0379
NPI assigned
Nov 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10025938 OR Primary
Registered Nurse 163W00000X 10025938 OR
Registered Nurse 163W00000X 95229252 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021959 CA

Addresses

Primary practice location

314 NE 19TH Ave
Portland, OR 97232-2829

Mailing address

2625 18TH St
San Francisco, CA 94110-2110
Phone (415) 515-4385

Other practice location 1

837 Addison St
Berkeley, CA 94710-2047
Phone (510) 981-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221207002122 CA Practitioner - Nurse Practitioner 5597134940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical CareGroup PAC ID 2062304538, 75 clinicians

Practice addresses (Care Compare)

2031 6TH St
Berkeley, CA 94710-2006
Phone (510) 981-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95229252CAMDRegistered Nurse
10025938ORMDRegistered Nurse
95021959CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Sep 26, 2022 Accepting new patients
Lifelong Medical Care CurrentSince Sep 26, 2022 Accepting new patients
Liminal Mental Health LLC Psychiatric/Mental Health CurrentSince Jun 23, 2024 Accepting new patients

Locations

3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

314 NE 19th Ave
Portland, OR 97232
Phone (503) 239-8181

Organizations & group practices 3

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": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1144822024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102110",
            "telephone_number": "415-515-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322829",
            "telephone_number": "415-515-4385",
            "fax_number": "415-481-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 Addison St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947102047",
            "country_code": "US",
            "telephone_number": "510-981-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACPHEE",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-14",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10025938",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10025938",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95229252",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.