Mindy Milar Moore, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

50112NP Issued in OR

Practice address

7975 SW 83Rd Ave
Portland, OR 97223-7334

Phone

(888) 667-6467

Fax

(888) 667-6467

NPI assigned

Feb 26, 2008

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• At Home Psychiatry LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1407375801
  Medicare reassignment Authorized official
• Transitions Professional Center

  • Psychologist
  • Portland, OR
  • NPI 1093126674
  NPD
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)
• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1174792998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8959 SW BARBUR BLVD STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194032",
            "telephone_number": "888-667-6467",
            "fax_number": "888-667-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 SW 83RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237334",
            "telephone_number": "888-667-6467",
            "fax_number": "888-667-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MINDY",
        "middle_name": "MILAR",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "50112NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500623422",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NURSING",
            "identifier": "50112NP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Moore, M.D.
• Michael Jeffrey Moore, MD
• Michael T Moore, M.D.
• Michael Webber Moore, MAT
• Michelle Moore
• Nancy Caroline Moore, LCSW
• Nathaniel Randall Moore, PHARM.D.
• Patricia Edwards Moore, LMT
• Rachel Kathleen Moore, PA-C
• Rachel L Moore, CRM/QMHA-R

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.

Verify at the official NPI Registry.