SHEENA MUNSON PMHNP-BC
NPI 1205357183
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since June 30, 2017PECOS Enrolled
86.22/100
CMS Quality Rating
1027 E BURNSIDE ST, PORTLAND, OR 97214(503) 239-8400(503) 239-8407 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 16, 2018, Jun 30, 2017 (2 updates tracked since 2017).

About Sheena Munson Pmhnp-bc NPPES

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

SHEENA MUNSON PMHNP-BC (NPI 1205357183) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201804416NP-PP) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Defiance.

NPPES Registry Identity

NPI1205357183
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHEENA MUNSONCredential: PMHNP-BC
Location Address1027 E BURNSIDE STPortland, OR 97214
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 239-8407
Fax(503) 239-8407
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateNovember 16, 20182 updates tracked since enumeration
✔ NPI 1205357183 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 · 201804416NP-PP✔ Licensed in OH · APRN.CNP.021133
1027 E BURNSIDE ST, Portland, OR 97214

Secondary Practice Location 1

Location 16825 N State Route 66Defiance, OH 43512-6730 · Phone (419) 782-4196

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheena Munson Pmhnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sheena Munson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Substance Abuse Rehabilitation Facility
1027 E BURNSIDE ST
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
132 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97214 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.64
Promoting Interoperability99
Improvement Activities40
Cost49.32

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.

Family Medicine
1027 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Family Medicine (Addiction Medicine)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Counselor
1027 E BURNSIDE ST
PORTLAND, OR 97214
Psychiatry & Neurology (Psychiatry)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Mental Health)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Social Worker (Clinical)
1027 E BURNSIDE ST
PORTLAND, OR 97214

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 Sheena Munson's NPI number?

The NPI number for Sheena Munson is 1205357183. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Sheena Munson located?

Sheena Munson practices at 1027 E Burnside St, Portland, OR 97214. The listed phone number is (503) 239-8400.

What is Sheena Munson's specialty?

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

Is Sheena Munson enrolled in Medicare?

Yes. Sheena Munson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheena Munson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Munson reassigns Medicare benefits to 2 organizations: Coda, Inc. (Portland, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). Each 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 Sheena Munson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheena Munson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sheena Munson 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 Sheena Munson was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.