Individual provider Active NPI

Mariama Bayoh

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1407203243
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202106217NP-PP Issued in OR
Practice address
1000 SE Tech Center Dr Ste 120
Vancouver, WA 98683-5548
Phone
(623) 285-1751
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60986177 WA
Family Nurse Practitioner 363LF0000X AP8904 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202106217NP-PP OR Primary

Addresses

Primary practice location

1000 SE Tech Center Dr Ste 120
Vancouver, WA 98683-5548

Mailing address

PO Box 2077
Portland, OR 97208-2077
Phone (503) 413-3900

Other practice location 1

701 NE 136th Ave Ste 200
Vancouver, WA 98684-6937
Phone (360) 606-0314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20191112002023 WA Practitioner - Nurse Practitioner 2466730593 Reassigns benefits to 1 organization
I20230501001747 OR Practitioner - Nurse Practitioner 2466730593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

1000 SE Tech Ctr Dr
Suite 120
Vancouver, WA 98683-5548
Phone (360) 260-2773

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8904AZMDFamily Nurse Practitioner
AP60986177WAMDFamily Nurse Practitioner
202106217NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 8, 2019 Accepting new patients
Silverton Health CurrentSince Mar 23, 2023 Accepting new patients
Silverton Health CurrentSince Mar 23, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 23, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 8, 2019 Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

1000 SE Tech Center Dr
Ste 120
Vancouver, WA 98683
Phone (360) 260-2773

Interoperability endpoints

  • Direct secure messaging: mbayoh321886@direct.lhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1407203243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082077",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE TECH CENTER DR STE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835548",
            "telephone_number": "623-285-1751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NE 136th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846937",
            "country_code": "US",
            "telephone_number": "360-606-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYOH",
        "first_name": "MARIAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60986177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8904",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202106217NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.