Individual provider Active NPI

Amanda Emmert

  • Psychiatry Physician
  • Albany, OR
National Provider Identifier
1801241120
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO204058 Issued in OR
Practice address
534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789
Phone
(541) 812-3323
NPI assigned
Apr 25, 2016
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X NU
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X DO204058 OR Primary

Addresses

Primary practice location

534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

200 Mullins Dr
Lebanon, OR 97355-3983
Phone (541) 259-0200

Other practice location 2

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5111

Other practice location 3

1112 NW Circle Blvd
Corvallis, OR 97330-1462
Phone (541) 768-1221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aemmert207488@samhealth.direct-ci.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802001337 OR Practitioner - Psychiatry 6709138100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO204058ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Aug 1, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Nov 13, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Jan 2, 2024 Accepting new patients
Albany General Hospital CurrentSince Dec 31, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Albany General Hospital CurrentSince Jan 2, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 1, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

534 Pleasant View Way NW
Ste 300
Albany, OR 97321
Phone (541) 812-3323

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1112 NW Circle Blvd
Corvallis, OR 97330
Phone (541) 257-2006

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: aemmert1342355@direct.lhs.org
  • Direct secure messaging: aemmert207488@samhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1801241120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 PLEASANT VIEW WAY NW STE 300",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211789",
            "telephone_number": "541-812-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mullins Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553983",
            "country_code": "US",
            "telephone_number": "541-259-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 NW Circle Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973301462",
            "country_code": "US",
            "telephone_number": "541-768-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO204058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aemmert207488@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "534 Pleasant View Way NW Ste 300",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.