Elizabeth Sue Pierce-Green, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10009162 Issued in OR

Practice address

409 NW 2ND Ave Ste a
Canby, OR 97013-3517

Phone

(503) 389-1500

Fax

(503) 212-4899

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 28, 2026 through May 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valuecore Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Canby, OR
  • NPI 1093444622
  NPD (past)

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1902592504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29274 S SALO RD",
            "city": "MULINO",
            "state": "OR",
            "postal_code": "970428734",
            "telephone_number": "503-679-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW 2ND AVE STE A",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133517",
            "telephone_number": "503-389-1500",
            "fax_number": "503-212-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE-GREEN",
        "first_name": "ELIZABETH",
        "middle_name": "SUE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200741941RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10009162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli L Pellegrini, PSYD
• Robin Louis Perez, PMHNP
• Donald D Perman Jr., D.M.D.
• Anne Phan, OTR/L, MSOT
• Britney Rae Phillips
• Pioneer Family Medicine PC
• Juliana Pirkle
• Anselmo Pizzuti, MD
• PLJ PC (Dr. Kevin B. Johnson)
• Porchlight Custom Counseling LLC

• Psychiatric/Mental Health Nurse Practitioner in Canby, OR
• Providers in Canby, 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 Jun 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.