Individual provider Active NPI

Robert Allan Hiester, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1316424583
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201805061NP-PP Issued in OR
Practice address
180 Ramsgate SQ S Ste 150
Salem, OR 97302-5867
Phone
(503) 461-8066
Fax
(503) 386-3399
NPI assigned
Jul 20, 2018
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201805061NP-PP OR Primary

Addresses

Primary practice location

180 Ramsgate SQ S Ste 150
Salem, OR 97302-5867

Mailing address

180 Ramsgate SQ S Ste 150
Salem, OR 97302-5867
Phone (503) 461-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201805061NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Psychiatry & Wellness LLC Psychiatric/Mental Health CurrentSince Jul 16, 2023 Accepting new patients

Locations

180 Ramsgate Sq S
Ste 150
Salem, OR 97302
Phone (503) 461-8066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1316424583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025867",
            "telephone_number": "503-461-8066",
            "fax_number": "503-386-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025867",
            "telephone_number": "503-461-8066",
            "fax_number": "503-386-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIESTER",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201805061NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.