SARAH SPEARS
NPI 1104472786
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Sarah Spears's NPI number?

The NPI number for Sarah Spears is 1104472786. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Q: What is Sarah Spears's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Spears was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2019PECOS Enrolled

33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7134 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2020, Dec 31, 2019, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

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About Sarah Spears NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH SPEARS (NPI 1104472786) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201907159NP-PP) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104472786

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSARAH SPEARS

Location Address33 NW BROADWAYPortland, OR 97209-3580

Mailing AddressPo Box 11541Portland, OR 97211-0541 · (503) 228-7134

Phone(503) 228-7134

Sole ProprietorYes

Enumeration DateAugust 10, 2019

Last NPPES UpdateFebruary 17, 20204 updates tracked since enumeration

✔ NPI 1104472786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201907159NP-PP

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201708299RN (OR)

33 NW BROADWAY, Portland, OR 97209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Spears is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY M MOORE LPC, CADC I

Counselor (Mental Health)