Individual provider Active NPI

Gabrielle Choi, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1952144156
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10026716 Issued in OR
Practice address
2401 River Rd Ste 101
Eugene, OR 97404-5412
Phone
(541) 916-7025
NPI assigned
Jun 15, 2024
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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 10026716 OR Primary

Addresses

Primary practice location

2401 River Rd Ste 101
Eugene, OR 97404-5412

Mailing address

2401 River Rd Ste 101
Eugene, OR 97404-5412
Phone (541) 916-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240710005117 OR Practitioner - Nurse Practitioner 8426593716 Reassigns benefits to 1 organization
I20260309001269 TX Practitioner - Nurse Practitioner 8426593716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coquille Indian TribeGroup PAC ID 6002805330, 21 clinicians

Practice addresses (Care Compare)

2401 River Rd
Suite 101
Eugene, OR 97404-5412
Phone 54188894942208

630 Miluk Dr
Coos Bay, OR 97420-7728
Phone 54188894947047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10026716ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coquille Indian Tribe Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

630 Miluk Dr
Coos Bay, OR 97420
Phone (541) 435-7039

2401 River Rd
Ste 101
Eugene, OR 97404
Phone (541) 344-8469

Interoperability endpoints

  • Direct secure messaging: gchoi729167@direct.ochin.org

Organizations & group practices 1

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": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1952144156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045412",
            "telephone_number": "541-916-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045412",
            "telephone_number": "541-916-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10026716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.