Individual provider Active NPI

Melanie Jane Parker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1912231606
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200950103NP Issued in OR
Practice address
1120 SW 3Rd Ave
Portland, OR 97204-2801
Phone
(503) 988-4832
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200950103NP OR Primary

Addresses

Primary practice location

1120 SW 3Rd Ave
Portland, OR 97204-2801

Mailing address

1120 SW 3Rd Ave
Portland, OR 97204-2801
Phone (503) 988-4832

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
I20171114000573 OR Practitioner - Nurse Practitioner 8022374727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinicops LLCGroup PAC ID 9739343245, 25 clinicians

Practice addresses (Care Compare)

21537 SW Roellich Ave
Sherwood, OR 97140-8171
Phone (866) 972-0235

923 NW 14TH Ave
Portland, OR 97209-2704
Phone (503) 972-0235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200950103NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicops, LLC Psychiatric/Mental Health CurrentSince Sep 14, 2020 Accepting new patients
Multnomah County Past Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients
Clinicops LLC Psychiatric/Mental Health PastSince May 25, 2025 Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients

Locations

3 River Ave
Eugene, OR 97404

2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800

2459 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 275-8783

923 NW 14th Ave
Portland, OR 97209

374 Owens St SE
Salem, OR 97302
Phone (503) 399-1400

Interoperability endpoints

  • Direct secure messaging: melanie.parker.1@32746.direct.athenahealth.com

Organizations & group practices 6

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1912231606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042801",
            "telephone_number": "503-988-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042801",
            "telephone_number": "503-988-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MELANIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200950103NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.