Debra Kay Avery, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lincoln City, OR
NPI 1962065664 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1962065664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 202100308NP-PP (OR)
- Practice address
- 4741 SW Highway 101 Ste a
Lincoln City, OR 97367-1574 - Phone
- (541) 351-9494
- NPI assigned
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816002517 | CO | Practitioner - Nurse Practitioner | 0042548836 | Reassigns benefits to 2 organizations |
| I20240614003204 | OR | Practitioner - Nurse Practitioner | 0042548836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0994619-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 202100308NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avery Psychiatric Care LLC | Single Specialty | Current |
Accepting new patients |
| Achieve Whole Recovery, PC | Current |
Accepting new patients | |
| Achieve Whole Recovery, PC | Single Specialty | Current |
Accepting new patients |
Locations
1277 Kelly Johnson Blvd
Ste 160
Colorado Springs, CO 80920
Phone (541) 351-9494
1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471
1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150
8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202100308NP-PP | OR | Yes |
| Psychiatric/Mental Health Nurse Practitioner |
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
1277 Kelly Johnson Blvd Ste 160
Colorado Springs, CO 80920-3992
Phone (541) 351-9494
Other practice location 2
1115 Elkton Dr
Colorado Springs, CO 80907-8507
Phone (719) 373-9703
Other providers in Lincoln City, OR
- Alexis Arreola LLC
- Dave Louis Artigues
- Assisted Living Concepts Inc
- Lynn Beatty Athens
- Avery Psychiatric Care LLC
- Angela Bailey
- Raj B. Baman
- Dawn Lori Barr
- Julie Anne Bass
- Michelle Marie Becker
All providers in Lincoln City, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.