Individual provider Active NPI

Antonia Ortega Gerber, NP-PP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Bend, OR
National Provider Identifier
1619377322
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202113062NP-PP Issued in OR
Practice address
1890 Waite Street Ste 1
North Bend, OR 97459
Phone
(541) 756-6232
Fax
(541) 756-6234
NPI assigned
Aug 29, 2014
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129913 TX
Family Nurse Practitioner 363LF0000X RN1015425 DC
Family Nurse Practitioner 363LF0000X 202113062NP-PP OR
Family Nurse Practitioner 363LF0000X AC001437 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202113062NP-PP OR Primary

Addresses

Primary practice location

1890 Waite Street Ste 1
North Bend, OR 97459

Mailing address

1890 Waite St Ste 1
North Bend, OR 97459-1229
Phone (541) 756-6232

Other practice location 1

8913 Collinfield Dr Unit 1
Austin, TX 78758-6704
Phone (877) 800-5722

Other identifiers 1

IdentifierTypeStateIssuer
1619377322MedicaidDC

Other names 1

  • Antonia Ortega Gerber Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antonia.perez.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20230215000855 OR Practitioner - Nurse Practitioner 9931426558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Waterfall Clinic IncorporatedGroup PAC ID 5698740355, 16 clinicians

Practice addresses (Care Compare)

1300 N Bayshore Dr
Coos Bay, OR 97420-2526
Phone (541) 756-6232

1890 Waite St
North Bend, OR 97459-1229
Phone (541) 435-7033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1015425DCMDFamily Nurse Practitioner
AP129913TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Jan 20, 2023 Accepting new patients
Waterfall Clinic, Incorporated Psychiatric/Mental Health CurrentSince Jan 3, 2023 Accepting new patients
Graciela M Leija MD PA Past Accepting new patients

Locations

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1619377322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 WAITE ST STE 1",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591229",
            "telephone_number": "541-756-6232",
            "fax_number": "541-756-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 WAITE STREET STE 1",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-6232",
            "fax_number": "541-756-6234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8913 Collinfield Dr Unit 1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787586704",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "fax_number": "512-873-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERBER",
        "first_name": "ANTONIA",
        "middle_name": "ORTEGA",
        "name_prefix": "Dr.",
        "credential": "NP-PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1015425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202113062NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001437",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202113062NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619377322",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antonia.perez.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "8913 Collinfield Dr Unit 1",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787586704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "GERBER",
            "middle_name": "ORTEGA",
            "credential": "NP-PP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.