Maggie Ankeny
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Eugene, OR
NPI 1265899710 · NPPES record last updated Apr 1, 2019
Key facts
- NPI
- 1265899710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 201509584NP-PP (OR)
- Practice address
- 1200 Hilyard St Ste 420
Eugene, OR 97401-8161 - Phone
- (541) 687-6096
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth Medical Group
Practice addresses (Care Compare)
1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6011
4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160505000988 | OR | Practitioner - Nurse Practitioner | 2163721572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Current |
Accepting new patients | |
| Peacehealth Medical Group | Current |
Accepting new patients |
Locations
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1200 Hilyard St
Ste 420
Eugene, OR 97401
Phone (458) 205-6444
1200 Hilyard St
Ste 460
Eugene, OR 97401
Phone (458) 205-6566
Interoperability endpoints
- mdrake255540@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201509584NP-PP | OR | Yes |
Addresses
Primary practice location
1200 Hilyard St Ste 420
Eugene, OR 97401-8161
Mailing address
1200 Hilyard St Ste 460
Eugene, OR 97401-8165
Other practice location 1
1925 Empire Park Dr
Eugene, OR 97402-1690
Phone (541) 543-4638
Other providers in Eugene, OR
- Brandon Anible
- Anita J Dekker MD, LLC
- Anjali Dhar, PSYD, LLC
- Anjuna Acupuncture & Integrated Medicine
- Katharine Ankeny
- Ann Tepperman Inc
- Anna Star Metz LLC
- Kimberly Anne
- Annelise Heitman LLC
- James Richard Annett
All providers in Eugene, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.