Individual provider Active NPI

Ana Tattersall-Cocke, PMHNP-BC, CNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1699727214
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10023633 Issued in OR
Practice address
1500 NE Irving St Ste 210
Portland, OR 97232-2243
Phone
(971) 365-3166
Fax
(210) 210-7615
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP109816 TX
Clinical Nurse Specialist 364S00000X AP109816 TX
Adult Health Clinical Nurse Specialist 364SA2200X AP109816 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10023633 OR Primary

Addresses

Primary practice location

1500 NE Irving St Ste 210
Portland, OR 97232-2243

Mailing address

11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058
Phone (971) 365-3166

Other practice location 1

3512 Paesanos Pkwy
San Antonio, TX 78231-1246
Phone (830) 581-0971

Other practice location 2

1170 SW 68th Pkwy #200
Portland, OR 97223
Phone (503) 922-2275

Other identifiers 4

IdentifierTypeStateIssuer
344932OtherTXAACC-ACNS-BS
153807604MedicaidTX
153807605OtherTXCSHCN
153807601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050104000957 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4284682477 Reassigns benefits to 5 organizations
I20241017001055 OR Practitioner - Nurse Practitioner 4284682477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
McArthur Gruff and Associates LLCGroup PAC ID 9032537329, 17 clinicians

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

535 SE Washington St
Hillsboro, OR 97123-4142
Phone (503) 755-6703

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McArthur Gruff & Associates LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 29, 2024 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jan 28, 2026 Accepting new patients
Complete Care Medical Associates CurrentSince Apr 1, 2019 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Oct 29, 2024 Accepting new patients
A&a Psych Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
South Texas Cardiovascular Consultants Past Accepting new patients
South Texas Cardiovascular Consultants Past Accepting new patients
Reliant Provider Services, LLC Nurse Practitioner Past Accepting new patients
Inpatient Consultants of Texas, PLLC Nurse Practitioner Past Accepting new patients

Locations (25 of 27)

1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699

7426 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 771-0555

395 SW Bluff Dr
Ste 10
Bend, OR 97702
Phone (503) 755-6703

535 SE Washington St
Hillsboro, OR 97123
Phone (503) 755-6703

1500 NE Irving St
Ste 210
Portland, OR 97232
Phone (425) 477-4215

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

3512 Paesanos Pkwy
Ste 203
San Antonio, TX 78231
Phone (210) 780-7595

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1699727214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SW 68TH PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239058",
            "telephone_number": "971-365-3166",
            "fax_number": "971-352-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NE IRVING ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322243",
            "telephone_number": "971-365-3166",
            "fax_number": "210-210-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Paesanos Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782311246",
            "country_code": "US",
            "telephone_number": "830-581-0971",
            "fax_number": "210-761-5728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 SW 68th Pkwy #200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97223",
            "country_code": "US",
            "telephone_number": "503-922-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATTERSALL-COCKE",
        "first_name": "ANA",
        "credential": "PMHNP-BC, CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP109816",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP109816",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP109816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10023633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AACC-ACNS-BS",
            "identifier": "344932",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153807604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "153807605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153807601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.