ELISABETH RUTH DECELLES PMHNP
NPI 1114435807
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR
About Elisabeth Ruth Decelles Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISABETH RUTH DECELLES PMHNP (NPI 1114435807) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (201902988NP-PP) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Show Low, and is a graduate of University Of South Alabama College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elisabeth Ruth Decelles Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elisabeth Decelles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97304
- Reassigned Medicare billing, Oregon enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elisabeth Decelles's NPI number?
The NPI number for Elisabeth Decelles is 1114435807. It was assigned to this individual provider in the NPPES registry on January 16, 2018.
Where is Elisabeth Decelles located?
Elisabeth Decelles practices at 1233 Edgewater St NW, Salem, OR 97304. The listed phone number is (503) 378-7526.
What is Elisabeth Decelles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elisabeth Decelles enrolled in Medicare?
Yes. Elisabeth Decelles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elisabeth Decelles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Decelles reassigns Medicare benefits to Northwest Human Services, Inc. (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisabeth Decelles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elisabeth Decelles accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elisabeth Decelles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elisabeth Decelles was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elisabeth Ruth Decelles, PMHNP · NPI 1114435807
Psychiatric/Mental Health physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since January 16, 2018.
## Identity
- **NPI:** 1114435807 (Entity type: Individual)
- **Enumerated:** January 16, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201902988NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1233 EDGEWATER ST NW, Salem, OR 97304-4049
- **Phone:** (503) 378-7526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Human Services, Inc. (NPI 1871530758, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114435807) · Data from the CMS NPPES public registry.