Individual provider Active NPI

Sarah Rebecca Paul, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1366872517
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201394040NP-PP Issued in OR
Practice address
10300 SW Eastridge St
Portland, OR 97225-5004
Phone
(503) 944-5000
NPI assigned
Nov 24, 2013
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 201394040NP-PP OR Primary

Addresses

Primary practice location

10300 SW Eastridge St
Portland, OR 97225-5004

Mailing address

7084 SW 181St PL
Aloha, OR 97007-5252
Phone (503) 781-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140318000342 OR Practitioner - Nurse Practitioner 3072744978 Reassigns benefits to 1 organization
I20250508001909 FL Practitioner - Nurse Practitioner 3072744978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ubh of Oregon LLCGroup PAC ID 4981772639, 20 clinicians

Practice addresses (Care Compare)

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
77.16
Improvement activities
40
Cost
90.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Mar 7, 2025 Accepting new patients
Vitellaria LLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Florida Department of Children and Families CurrentSince Mar 7, 2025 Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Cultivate Wellness Counseling LLC PastSince Feb 24, 2022 Accepting new patients

Locations

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

Organizations & group practices 6

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": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1366872517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 SW 181ST PL",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970075252",
            "telephone_number": "503-781-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW EASTRIDGE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255004",
            "telephone_number": "503-944-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SARAH",
        "middle_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201394040NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.