JACOB RYAN STRADLING PMHNP
NPI 1124704895
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Q: What is Jacob Stradling's NPI number?

The NPI number for Jacob Stradling is 1124704895. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Jacob Stradling'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 Jacob Stradling was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 June 26, 2023PECOS EnrolledAccepts Medicare Assignment

281 LACLAIR ST, COOS BAY, OR 97420(541) 266-6733(541) 888-8726 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jacob Ryan Stradling Pmhnp NPPES

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

JACOB RYAN STRADLING PMHNP (NPI 1124704895) is an individual psychiatric/mental health provider in Coos Bay, Oregon, licensed in Oregon (10045770) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124704895

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJACOB RYAN STRADLINGCredential: PMHNP

Location Address281 LACLAIR STCoos Bay, OR 97420-2988

Mailing Address281 Laclair StCoos Bay, OR 97420-2988 · (541) 266-6700 · Fax (541) 888-8726

Phone(541) 266-6733

Fax(541) 888-8726

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 26, 2023

Last NPPES UpdateOctober 13, 2025

NPPES CertifiedOctober 13, 2025

✔ NPI 1124704895 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 · 10045770✔ Licensed in AZ · 294125

281 LACLAIR ST, Coos Bay, OR 97420

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Jacob Ryan Stradling 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 ID3971095241

PECOS Enrollment IDI20251124003119

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380090

Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97420 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.

ELIZABETH HARTE DAVENPORT QMHA

Case Manager/Care Coordinator