Cailin Kelly Jarrell, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61412088 Issued in WA

Practice address

12503 SE Mill Plain Blvd Ste 123
Vancouver, WA 98684-4007

Phone

(360) 334-9942

Fax

(425) 242-3683

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Mental HealthGroup PAC ID 6103248851, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Spectrum Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1356812614
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1407358450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD STE 123",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844007",
            "telephone_number": "360-334-9942",
            "fax_number": "425-242-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD STE 123",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844007",
            "telephone_number": "360-334-9942",
            "fax_number": "425-242-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12710 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972363134",
            "country_code": "US",
            "telephone_number": "503-988-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14411 SE McLoughlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "97267",
            "country_code": "US",
            "telephone_number": "503-788-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "CAILIN",
        "middle_name": "KELLY",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201801551NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61412088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON NP LICENSE",
            "identifier": "201801551NP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Januik, RDH
• Janus of SW Washington
• Stephen Jardin, LMP
• Ellis Burke Jardine, D.M.D.
• Olivia Jarett, PA-C
• Jessica Danielle Jarrett, ND
• Jason D. Mah DMD PLLC
• Jason Paul Jarria, MD, PLLC
• Daniel Jass
• Sukhmani Jassar, B.D.S, M.S.

• Psychiatric/Mental Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.