Individual provider Active NPI

Lauren Wilks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tillamook, OR
National Provider Identifier
1689110462
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10045114 Issued in OR
Practice address
36307 Wilson River Hwy
Tillamook, OR 97141-3816
Phone
(503) 830-5572
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10045114 OR Primary

Addresses

Primary practice location

36307 Wilson River Hwy
Tillamook, OR 97141-3816

Mailing address

36307 Wilson River Hwy
Tillamook, OR 97141-9132
Phone (503) 830-5572

Other practice location 1

906 Main Ave
Tillamook, OR 97141-3816
Phone (503) 842-8201 ext. 210

Other identifiers 1

IdentifierTypeStateIssuer
500720382MedicaidOR

Other names 1

  • Lauren Hermann Former name

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
I20260409002860 OR Practitioner - Nurse Practitioner 7012482771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tillamook Family Counseling CenterGroup PAC ID 3375443864, 8 clinicians

Practice addresses (Care Compare)

906 Main Ave
Tillamook, OR 97141-3816
Phone 50384282010

Hospital & facility affiliations

  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10045114ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tillamook Family Counseling Center CurrentSince Jun 1, 2022 Accepting new patients
Tillamook Family Counseling Center PastSince Jun 1, 2022 Accepting new patients

Locations

906 Main Ave
Tillamook, OR 97141
Phone (503) 815-5437

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/

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.

Hospital & facility affiliations 4

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1689110462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36307 WILSON RIVER HWY",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419132",
            "telephone_number": "503-830-5572",
            "fax_number": "503-815-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36307 WILSON RIVER HWY",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413816",
            "telephone_number": "503-830-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971413816",
            "country_code": "US",
            "telephone_number": "503-842-8201 x210",
            "fax_number": "503-815-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKS",
        "first_name": "LAUREN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10045114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500720382",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HERMANN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.