Individual provider Active NPI

Debra Kay Avery, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
National Provider Identifier
1962065664
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202100308NP-PP Issued in OR
Practice address
4741 SW Highway 101 Ste a
Lincoln City, OR 97367-1574
Phone
(541) 351-9494
NPI assigned
Apr 17, 2019
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202100308NP-PP OR Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APN.0994619-NP CO

Addresses

Primary practice location

4741 SW Highway 101 Ste a
Lincoln City, OR 97367-1574

Mailing address

4741 SW Highway 101 Ste a
Lincoln City, OR 97367-1574
Phone (541) 351-9494

Other practice location 1

1115 Elkton Dr
Colorado Springs, CO 80907-8507
Phone (719) 373-9703

Other practice location 2

1277 Kelly Johnson Blvd Ste 160
Colorado Springs, CO 80920-3992
Phone (541) 351-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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
I20190816002517 CO Practitioner - Nurse Practitioner 0042548836 Reassigns benefits to 2 organizations
I20240614003204 OR Practitioner - Nurse Practitioner 0042548836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1277 Kelly Johnson Blvd
Colorado Springs, CO 80920-3992
Phone (541) 351-9494

4741 SW Hwy 101
Suite a
Lincoln City, OR 97367-1574
Phone (541) 351-9494

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Single Specialty CurrentSince Jun 23, 2019 Accepting new patients
Achieve Whole Recovery, PC CurrentSince Jun 23, 2019 Accepting new patients
Avery Psychiatric Care LLC Single Specialty CurrentSince Oct 26, 2023 Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 373-9703

1277 Kelly Johnson Blvd
Ste 160
Colorado Springs, CO 80920
Phone (541) 351-9494

1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 373-9703

4741 SW Highway 101
Ste A
Lincoln City, OR 97367
Phone (541) 351-9494

313 SW 2nd St
Ste C
Newport, OR 97365
Phone (541) 351-9494

Organizations & group practices 3

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1962065664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 SW HIGHWAY 101 STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973671574",
            "telephone_number": "541-351-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 SW HIGHWAY 101 STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973671574",
            "telephone_number": "541-351-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Elkton Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809078507",
            "country_code": "US",
            "telephone_number": "719-373-9703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1277 Kelly Johnson Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203992",
            "country_code": "US",
            "telephone_number": "541-351-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202100308NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994619-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.