ELISABETH RUTH DECELLES PMHNP
NPI 1114435807
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since January 16, 2018PECOS EnrolledAccepts Medicare Assignment
1233 EDGEWATER ST NW, SALEM, OR 97304(503) 378-7526 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Feb 20, 2020, Jan 16, 2018 (3 updates tracked since 2018).

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

NPI1114435807
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELISABETH RUTH DECELLESCredential: PMHNP
Location Address1233 EDGEWATER ST NWSalem, OR 97304-4049
Mailing Address2550 E Show Low Lake Rd Bldg BShow Low, AZ 85901-7929 · (928) 537-2951 · Fax (928) 537-2071
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2017
Enumeration DateJanuary 16, 2018
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1114435807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OR · 201902988NP-PP Licensed in AZ · AP10900
1233 EDGEWATER ST NW, Salem, OR 97304

Secondary Practice Location 1

Location 12550 E Show Low Lake Rd Bldg BShow Low, AZ 85901-7929 · Phone (928) 537-2951 · Fax (928) 537-2071

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID345501029
PECOS Enrollment IDI20190819003089
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 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.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Counselor (Mental Health)
1233 EDGEWATER ST NW
SALEM, OR 97304
Social Worker (Clinical)
1233 EDGEWATER ST NW
SALEM, OR 97304
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Counselor (Professional)
1233 EDGEWATER ST NW
SALEM, OR 97304
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Internal Medicine
1233 EDGEWATER ST NW
SALEM, OR 97304
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304

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.

What insurance does Elisabeth Decelles accept?

Health plans from BridgeSpan Health Company 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.