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MACKENZIE EILEEN CALLIS APRN, PMHNP
NPI 1134895642
Nurse Practitioner - Psychiatric/Mental Health in Tualatin, OR

Active since August 17, 2021PECOS Enrolled
18650 SW BOONES FERRY RD STE 3, TUALATIN, OR 97062(503) 351-5858 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Sep 12, 2022, Jan 7, 2022 and 2 more (5 updates tracked since 2021).

About Mackenzie Eileen Callis Aprn, Pmhnp NPPES

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

MACKENZIE EILEEN CALLIS APRN, PMHNP (NPI 1134895642) is an individual psychiatric/mental health provider in Tualatin, Oregon, licensed in Oregon (202107871NP-PP) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1134895642
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMACKENZIE EILEEN CALLISCredential: APRN, PMHNP
Location Address18650 SW BOONES FERRY RD STE 3Tualatin, OR 97062-8491
Mailing AddressPo Box 922Sherwood, OR 97140-0922
Phone(503) 351-5858
Sole ProprietorNo
Enumeration DateAugust 17, 2021
Last NPPES UpdateApril 14, 20265 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1134895642 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 · 202107871NP-PP✔ Licensed in AK · 180541
18650 SW BOONES FERRY RD STE 3, Tualatin, OR 97062
Open in Google Maps ↗

Secondary Practice Location 1

Location 12600 Denali St Ste 606Anchorage, AK 99503-2754 · Phone (503) 351-5858 ext. 3

Other Identifiers 1

Medicaid1724666AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Eileen Callis Aprn, Pmhnp 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 97062 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 3

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

EVA FIRTH
Social Worker (Clinical)
18650 SW BOONES FERRY RD STE 3
TUALATIN, OR 97062
Washington County (801) 244-0211
JANIS IRENE CRAWFORD LPC
Counselor (Professional)
18650 SW BOONES FERRY RD STE 3
TUALATIN, OR 97062
Washington County (503) 680-4734
MARLA CHRISTENSEN LPC
Marriage & Family Therapist
18650 SW BOONES FERRY RD STE 3
TUALATIN, OR 97062
Washington County (503) 850-4455

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 Mackenzie Callis's NPI number?

The NPI number for Mackenzie Callis is 1134895642. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Mackenzie Callis located?

Mackenzie Callis practices at 18650 SW Boones Ferry Rd Ste 3, Tualatin, OR 97062. The listed phone number is (503) 351-5858.

What is Mackenzie Callis's specialty?

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

Is Mackenzie Callis enrolled in Medicare?

Yes. Mackenzie Callis is registered in the Medicare PECOS enrollment system.

What insurance does Mackenzie Callis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Mackenzie Callis 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 Mackenzie Callis was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.