LAVENA H MCCULLUM APRN
NPI 1235628645
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Q: What is Lavena Mccullum's NPI number?

The NPI number for Lavena Mccullum is 1235628645. It was assigned to this individual provider in the NPPES registry on May 2, 2018. The provider is also known as Lavena Marie Hay.

Q: What is Lavena Mccullum'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 Lavena Mccullum was last updated on April 21, 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.

Active since May 02, 2018PECOS Enrolled

401 RATCLIFF DR SE STE 110, SALEM, OR 97302(541) 224-8110(800) 783-8942 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Apr 8, 2026, May 11, 2019 and 2 more (5 updates tracked since 2018).

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About Lavena H Mccullum Aprn NPPES

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

LAVENA H MCCULLUM APRN (NPI 1235628645) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (10021776) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235628645

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLAVENA H MCCULLUMCredential: APRN

Location Address401 RATCLIFF DR SE STE 110Salem, OR 97302-4576

Mailing Address710 E Foothills Dr Ste 104Newberg, OR 97132-6125 · (541) 224-8110 · Fax (800) 783-8942

Phone(541) 224-8110

Fax(800) 783-8942

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 2, 2018

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1235628645 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 · 10021776

401 RATCLIFF DR SE STE 110, Salem, OR 97302

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Other Names 1

Former Name (1)Lavena Marie Hay

Secondary Practice Locations 2

Location 1710 E Foothills Dr Ste 104Newberg, OR 97132-6125 · Phone (541) 224-8110 · Fax (800) 783-8942

Location 24400 NE 77th Ave Ste 275Vancouver, WA 98662-6857 · Phone (541) 224-8110 · Fax (800) 783-8942

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavena H Mccullum Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911253299

PECOS Enrollment IDI20260626004720

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 Reassignment

Medicare enrollment records show Lavena Mccullum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindhealth Psychiatry LLC

Same address

Psychiatric/Mental Health

401 RATCLIFF DR SE STE 110
Salem, OR 97302

Reassigned Medicare billing, Oregon and Washington enrollments

NPI 1144193699 (541) 224-8110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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 2

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

MINDHEALTH PSYCHIATRY LLC

Nurse Practitioner (Psychiatric/Mental Health)

401 RATCLIFF DR SE STE 110
SALEM, OR 97302

Marion County (541) 224-8110

CHRISTOPHER ALEXANDER BARRIOS

Nurse Practitioner (Psychiatric/Mental Health)

401 RATCLIFF DR SE STE 110
SALEM, OR 97302

Marion County (541) 224-8110

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 Lavena Mccullum's NPI number?

The NPI number for Lavena Mccullum is 1235628645. It was assigned to this individual provider in the NPPES registry on May 2, 2018. The provider is also known as Lavena Marie Hay.

Where is Lavena Mccullum located?

Lavena Mccullum practices at 401 Ratcliff Dr SE Ste 110, Salem, OR 97302. The listed phone number is (541) 224-8110.

What is Lavena Mccullum's specialty?

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

Is Lavena Mccullum enrolled in Medicare?

Yes. Lavena Mccullum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lavena Mccullum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lavena Mccullum reassigns Medicare benefits to Mindhealth Psychiatry LLC (Salem, OR). The 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 Lavena Mccullum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lavena Mccullum accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Lavena Mccullum 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 Lavena Mccullum was last updated on April 21, 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.