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ANGELINA M POLITO PMHNP-BC
NPI 1154157386
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 12, 2024PECOS Enrolled
1410 NE 106TH AVE, PORTLAND, OR 97220(503) 460-0405(503) 460-0434 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Sep 12, 2024 (2 updates tracked since 2024).

About Angelina M Polito Pmhnp-bc NPPES

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

ANGELINA M POLITO PMHNP-BC (NPI 1154157386) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10048439) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154157386
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELINA M POLITOCredential: PMHNP-BC
Location Address1410 NE 106TH AVEPortland, OR 97220-3934
Mailing Address1410 Ne 106th AvePortland, OR 97220-3934 · (503) 460-0405 · Fax (503) 460-0434
Phone(503) 460-0405
Fax(503) 460-0434
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2024
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1154157386 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
License✔ Licensed in OR · 10048439
1410 NE 106TH AVE, Portland, OR 97220
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Angelina M Polito Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446755490
PECOS Enrollment IDI20250923000501
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 97220 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 15

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

KACY L HERBST PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
GWYNETH THERESA JONES DNP, FNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
BRITNEY HERMAN NP-C WHNP-BC
Nurse Practitioner
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
CHELSEA MARIE JOHNSON
Nurse Practitioner (Primary Care)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
THERESA BUNKER FNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
DR. BRITTANY LYN KOLLURU N.D.
Naturopath
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
JANE LOUISE IRVIN DECKER FNP-C
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
BRIDGE CITY FAMILY MEDICAL CLINIC, PC
Clinic/Center (Multi-Specialty)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405

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 Angelina Polito's NPI number?

The NPI number for Angelina Polito is 1154157386. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Angelina Polito located?

Angelina Polito practices at 1410 NE 106th Ave, Portland, OR 97220. The listed phone number is (503) 460-0405.

What is Angelina Polito's specialty?

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

Is Angelina Polito enrolled in Medicare?

Yes. Angelina Polito is registered in the Medicare PECOS enrollment system.

What insurance does Angelina Polito accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Angelina Polito 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 Angelina Polito was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.