MR. DAVID CARL STEVENS PMHNP
NPI 1255095550
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is David Stevens's NPI number?

The NPI number for David Stevens is 1255095550. It was assigned to this individual provider in the NPPES registry on October 24, 2021. The provider is also known as Mr. Dave Carl Stevens Pmhnp.

Q: What is David Stevens'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 David Stevens was last updated on December 12, 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.

Active since October 24, 2021PECOS Enrolled

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2025, Sep 18, 2025, Nov 10, 2021 and 2 more (5 updates tracked since 2021).

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About Mr. David Carl Stevens Pmhnp NPPES

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

MR. DAVID CARL STEVENS PMHNP (NPI 1255095550) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202111950NP-PP) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255095550

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. DAVID CARL STEVENSCredential: PMHNP

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Enumeration DateOctober 24, 2021

Last NPPES UpdateDecember 12, 20255 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1255095550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 202111950NP-PP

Also ListedRegistered NurseTaxonomy 163W00000X · License 201041299RN (OR), RN61146170 (WA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP61337481 (WA)

12360 E BURNSIDE ST, Portland, OR 97233

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Other Names 1

Other Name (5)Mr. Dave Carl Stevens Pmhnp

Secondary Practice Locations 2

Location 1703 NE Hancock StPortland, OR 97212-3955 · Phone (503) 230-9875 · Fax (503) 331-3441

Location 2620 NE 2nd StGresham, OR 97030-7514 · Phone (971) 274-3757

Other Identifiers 2

Medicaid2205261WA

Medicaid500800742OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Carl Stevens 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.

Medicare Billing Reassignment

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

Native American Rehabilitation Assoc Inc

Same address

Federally Qualified Health Center (FQHC)

12360 E BURNSIDE ST
Portland, OR 97233

Reassigned Medicare billing, Oregon enrollment
39 clinicians in this Medicare group

NPI 1053691972 (971) 279-4800

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 97233 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 20

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

ANGEL T HIRSCH PCA/QMHP-C

Counselor