Active NPI
Anicka Leah Gabriella Oyer Meyers, PMHNP-BC, RN
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201807417NP-PP
- Practice address
- 110 S Bancroft St Ste B
Portland, OR 97239-8523 - Phone
- (971) 328-1565
- NPI assigned
- Apr 27, 2017
- Last updated
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201807417NP-PP | OR | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61373216 | WA | |
| Registered Nurse | 163W00000X | RN61368679 | WA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 201607783RN | OR |
Addresses
Primary practice location
110 S Bancroft St Ste B
Portland, OR 97239-8523
Mailing address
110 S Bancroft St Ste B
Portland, OR 97239-8523
Other practice location 1
1306 NW Hoyt St Ste 407
Portland, OR 97209-2787
Phone (971) 407-3930
Other practice location 2
401 Broadway Ste 100
Tacoma, WA 98402
Phone (971) 328-1565
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61368679 | WA | MD | Registered Nurse |
| 201607783RN | OR | MD | Addiction (Substance Use Disorder) Registered Nurse |
| 201807417NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61373216 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Talking Twenties, PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745
1306 NW Hoyt St
Ste 407
Portland, OR 97209
Phone (971) 407-3930
Interoperability endpoints
- anicka.meyers.1@28621.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Eugene Center for Anxiety and Stress of Oregon
- Clinical Psychologist
- Eugene, OR
- NPI 1316717747
-
dba Urban Counseling Collective of Oregon
- Clinical Psychologist
- Beaverton, OR
- NPI 1225890460
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
dba Talking Twenties
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1700433299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1225563190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BANCROFT ST STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972398523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S BANCROFT ST STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972398523",
"telephone_number": "971-328-1565"
}
],
"practiceLocations": [
{
"address_1": "1306 NW Hoyt St Ste 407",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972092787",
"country_code": "US",
"telephone_number": "971-407-3930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Broadway Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98402",
"country_code": "US",
"telephone_number": "971-328-1565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OYER MEYERS",
"first_name": "ANICKA",
"middle_name": "LEAH GABRIELLA",
"credential": "PMHNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201807417NP-PP",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61373216",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61368679",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "201607783RN",
"primary": false
}
],
"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 Feb 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.