Active NPI
Amber Rose Hashizume, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Albany, OR
National Provider Identifier
1558101006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10029127
- Practice address
- 445 3Rd Ave SW
Albany, OR 97321-2272 - Phone
- (541) 967-3866
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10029127 | OR | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 201042382RN | OR |
Addresses
Primary practice location
445 3Rd Ave SW
Albany, OR 97321-2272
Mailing address
2658 NW Oak Glen St
Albany, OR 97321-1069
Phone (541) 705-5546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815001095 | OR | Practitioner - Nurse Practitioner | 3678011186 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Linn
Practice addresses (Care Compare)
445 3Rd Ave SW
Linn County Mental Health Services
Albany, OR 97321-0031
Phone (541) 967-3866
Hospital & facility affiliations
- Samaritan Lebanon Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201042382RN | OR | MD | Psychiatric/Mental Health Registered Nurse |
| 10029127 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Linn | Current | Accepting new patients | |
| County of Linn | Current | Accepting new patients |
Locations
2730 Pacific Blvd SE
Albany, OR 97321
445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916
445 3rd Ave SW
#H
Albany, OR 97321
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Albany, OR
- NPI 1174282172
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Lebanon, OR
- NPI 1518347608
Hospital
-
- Substance Abuse Rehabilitation Facility
- Lebanon, OR
- NPI 1669000865
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1558101006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2658 NW OAK GLEN ST",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211069",
"telephone_number": "541-705-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 3RD AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212272",
"telephone_number": "541-967-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHIZUME",
"first_name": "AMBER",
"middle_name": "ROSE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10029127",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "201042382RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.