Active NPI
Elizabeth C Dotson, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Keizer, OR
National Provider Identifier
1457043465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10008925
- Practice address
- 3787 River Rd N Ste a
Keizer, OR 97303-4899 - Phone
- (971) 312-7163
- Fax
- (503) 506-0495
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10008925 | OR | Primary |
Addresses
Primary practice location
3787 River Rd N Ste a
Keizer, OR 97303-4899
Mailing address
3787 River Rd N Ste a
Keizer, OR 97303-4899
Phone (971) 312-7163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 22, 2026 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10008925 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1457043465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 RIVER RD N STE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034899",
"telephone_number": "971-312-7163",
"fax_number": "503-506-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 RIVER RD N STE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034899",
"telephone_number": "971-312-7163",
"fax_number": "503-506-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "ELIZABETH",
"middle_name": "C",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10008925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.