Sarah Elizabeth Quewakum, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10011107 Issued in OR

Practice address

727 E Ash St
Lebanon, OR 97355-4416

Phone

(541) 905-1595

NPI assigned

Aug 30, 2011

Last updated

Apr 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sarah Elizabeth Pete Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thriveworks Clinical - Oregon LLCGroup PAC ID 1254715006, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.sarahquewakum@151848.advancedmd-direct.com
• Direct secure messaging: sarah.quewakum.1@24259.direct.athenahealth.com

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.

• Thriveworks Clinical - Oregon LLC

  dba Thriveworks

  • Mental Health Counselor
  • Salem, OR
  • NPI 1447926928
  Medicare reassignment Care Compare group
• Amber Benson Pmhnp PC

  dba Benson Health Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1912042862
  Medicare reassignment NPD
• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  Medicare reassignment NPD
• Oregon Behavioral Health Solutions, LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1992525620
  Medicare reassignment NPD
• Lgbtq Telepsychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Sheridan, WY
  • NPI 1336722859

  OR

  Medicare reassignment NPD
• Diane Bolduc, M.D.

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1174537047
  Medicare reassignment
• County of Lincoln

  dba Coastal Healthcare

  • Federally Qualified Health Center (FQHC)
  • Newport, OR
  • NPI 1992755664
  NPD
• Invictus Therapy and Consultation LLC

  • Psychologist
  • Eugene, OR
  • NPI 1114574936

  Counselor

  NPD
• Marion County

  dba Marion County Health and Human Services

  • Methadone Clinic
  • Salem, OR
  • NPI 1386706919
  NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1639450026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E ASH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554416",
            "telephone_number": "541-905-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E ASH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554416",
            "telephone_number": "541-905-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEWAKUM",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10011107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500820996",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15932722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PETE",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Joseph Prendergast
• Mandy R Prestenbach
• Garrett Price, PHARMD
• Rosita Rodriguez Proteau, PH.D., R.PH.
• PT Acquisitions LLC (PT Mobile)
• Gino Renion Quintal
• Fabiola Marisol Quiroa
• Cory M Rahn, PHARMD
• Sarah Rau
• Chad Tyler Rawson

• Psychiatric/Mental Health Nurse Practitioner in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.