Marilyn Kay Krueger, MS, MSN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

095000167N6 Issued in OR

Practice address

1255 Pearl St
Suite 102
Eugene, OR 97401-3570

Phone

(541) 687-6983

Fax

(541) 687-2063

NPI assigned

Jan 19, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

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

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.

• Clatsop Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Warrenton, OR
  • NPI 1013925155
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1811292014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PEARL ST",
            "address_2": "SUITE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013570",
            "telephone_number": "541-687-6983",
            "fax_number": "541-687-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PEARL ST",
            "address_2": "SUITE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013570",
            "telephone_number": "541-687-6983",
            "fax_number": "541-687-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MS, MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "095000167N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Leighanne Curtis LCSW LLC
• Kristina Ganter PT
• Teja Viriya Kritika, LPC, MS, QMHP
• Helene D. Krothe, LMFT
• Holly Kyle Krueger, PH.D.
• Jennifer Nicole Kruid, OD
• Tracie Krum, MFT
• Amber-Dawn Krupicka, MSW, LCSW
• Katherine Kubicek, PMHNP-BC
• Alexa Kucera

• Psychiatric/Mental Health Nurse Practitioner in Eugene, OR
• Providers in Eugene, 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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.