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

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: August 09, 2026.

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

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 and maintains 2 additional practice locations.

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
Fax(800) 783-8942
Sole ProprietorYes
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lavena H Mccullum Aprn 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 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

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

Nurse Practitioner (Psychiatric/Mental Health)
401 RATCLIFF DR SE STE 110
SALEM, OR 97302

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.

What insurance does Lavena Mccullum accept?

Health plans from Moda Health Plan, Inc. 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 3 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.