Individual provider Active NPI

Diane Inda

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1871962589
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201801068NP-PP Issued in OR
Practice address
847 NE 19TH Ave Ste 100
Portland, OR 97232-2684
Phone
(503) 238-0769
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408420 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70107462 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200394 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18234 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015005058 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201801068NP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3771798 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 898866 NV

Addresses

Primary practice location

847 NE 19TH Ave Ste 100
Portland, OR 97232-2684

Mailing address

PO Box 3417
Portland, OR 97208-3417

Other practice location 1

8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805
Phone (833) 351-8255

Other practice location 2

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (833) 351-8255

Other practice location 3

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (833) 351-8255

Other practice location 4

9805 Double R Blvd Ste 300
Reno, NV 89521-4827
Phone (833) 351-8255

Other practice location 5

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 6

100 W College Ave
Appleton, WI 54911-5735
Phone (833) 351-8255

Other practice location 7

950 W Bannock St
Boise, ID 83702-5999
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
500742223MedicaidOR

Other names 1

  • Dian Inda Other 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
I20180417002832 OR Practitioner - Nurse Practitioner 1557670130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

240 Phelps St
Suite 2
Silverton, OR 97381-1927
Phone (971) 983-5214

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

5685 Inland Shores Way N
Keizer, OR 97303-3794
Phone (503) 779-2271

9620 NE Tanasbourne Dr
Suite 300
Hillsboro, OR 97124-7844
Phone (833) 351-8255

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3771798IDMDPsychiatric/Mental Health Nurse Practitioner
2015005058MNMDPsychiatric/Mental Health Nurse Practitioner
898866NVMDPsychiatric/Mental Health Nurse Practitioner
408420NYMDPsychiatric/Mental Health Nurse Practitioner
201801068NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
200394SDMDPsychiatric/Mental Health Nurse Practitioner
70107462WAMDPsychiatric/Mental Health Nurse Practitioner
18234WIMDPsychiatric/Mental Health Nurse Practitioner
4192MNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Aug 1, 2020 Accepting new patients
Silverton Health CurrentSince Aug 1, 2020 Accepting new patients
Silverton Health Current Accepting new patients

Locations

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 4

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.

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    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1871962589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322684",
            "telephone_number": "503-238-0769"
        }
    ],
    "practiceLocations": [
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            "address_purpose": "LOCATION",
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            "postal_code": "554373805",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Reid St Ste 307",
            "address_purpose": "LOCATION",
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            "country_name": "United States",
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        },
        {
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            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
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        },
        {
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            "postal_code": "895214827",
            "country_code": "US",
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            "country_name": "United States",
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        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549115735",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837025999",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDA",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
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            "primary": false
        },
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            "state": "WA",
            "license": "70107462",
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "200394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "18234",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2015005058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201801068NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "3771798",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "898866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500742223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIAN",
            "last_name": "INDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.