Individual provider Active NPI

Erin Sanford Fitzgerald, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
National Provider Identifier
1306217872
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201507586NP-PP Issued in OR
Practice address
820 SE Highway 101 Ste E2
Lincoln City, OR 97367-2773
Phone
(971) 465-9556
Fax
(888) 224-4514
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201507586NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201507586NP-PP OR Primary

Addresses

Primary practice location

820 SE Highway 101 Ste E2
Lincoln City, OR 97367-2773

Mailing address

PO Box 2792
Corvallis, OR 97339-2792
Phone (971) 465-9556

Other practice location 1

2600 NE Highway 101 Unit 105
Lincoln City, OR 97367-4464
Phone (971) 465-9556

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efitzgerald229939@samhealth.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112003002 OR Practitioner - Nurse Practitioner 6305156894 Reassigns benefits to 1 organization
Practice locations: Lincoln City, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16909 Oakdale Rd
Dallas, OR 97338-9602

820 SE Hwy 101
Suite E2
Lincoln City, OR 97367
Phone (971) 465-9556

820 SE Hwy 101
Suite E2
Lincoln City, OR 97367-2773
Phone (971) 465-9559

Hospital & facility affiliations

  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201507586NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzgerald Family Medicine Current Accepting new patients
Healing Harbor Psychiatry Psychiatric/Mental Health CurrentSince Jul 21, 2025 Accepting new patients
Renovo Chiropractic LLC PastSince Dec 1, 2023 Accepting new patients

Locations

820 SE Highway 101
Ste E2
Lincoln City, OR 97367
Phone (971) 465-9556

2600 NE Highway 101
Unit 105
Lincoln City, OR 97367
Phone (541) 204-1370

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1306217872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2792",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392792",
            "telephone_number": "971-465-9556",
            "fax_number": "888-224-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SE HIGHWAY 101 STE E2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672773",
            "telephone_number": "971-465-9556",
            "fax_number": "888-224-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 NE Highway 101 Unit 105",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674464",
            "country_code": "US",
            "telephone_number": "971-465-9556",
            "fax_number": "888-224-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ERIN",
        "middle_name": "SANFORD",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201507586NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201507586NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efitzgerald229939@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "4600 Evergreen Pl SE",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.