SHANNON ANASTASIADIS PMHNP-BC LLC
NPI 1255279840
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 24, 2026
1827 NE 44TH AVE STE 315, PORTLAND, OR 97213(503) 735-5230 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Anastasiadis Pmhnp-bc Llc NPPES

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

SHANNON ANASTASIADIS PMHNP-BC LLC (NPI 1255279840), doing business as Anastasiadis Mental Health, is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since March 2026. The organization lists Shannon Anastasiadis, Owner, as its authorized official.

NPPES Registry Identity

NPI1255279840
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSHANNON ANASTASIADIS PMHNP-BC LLC
Location Address1827 NE 44TH AVE STE 315Portland, OR 97213-1467
Mailing Address5415 Ne 38th AvePortland, OR 97211-8009
Organization SubpartNo
Authorized OfficialShannon AnastasiadisOwner · (503) 735-5230
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1255279840 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
1827 NE 44TH AVE STE 315, Portland, OR 97213

Other Names 1

Doing Business AsAnastasiadis Mental Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Anastasiadis Pmhnp-bc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannon Anastasiadis Pmhnp-Bc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1912050360
5415 NE 38TH AVE
Portland, OR 97211
(503) 735-5230
✔ PECOS1.8 mi

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

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 Shannon Anastasiadis Pmhnp-Bc LLC's NPI number?

The NPI number for Shannon Anastasiadis Pmhnp-Bc LLC is 1255279840. It was assigned to this organization in the NPPES registry on March 24, 2026. The provider is doing business as Anastasiadis Mental Health.

Where is Shannon Anastasiadis Pmhnp-Bc LLC located?

Shannon Anastasiadis Pmhnp-Bc LLC is located at 1827 NE 44th Ave Ste 315, Portland, OR 97213. The listed phone number is (503) 735-5230.

What is Shannon Anastasiadis Pmhnp-Bc LLC's specialty?

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

Is Shannon Anastasiadis Pmhnp-Bc LLC enrolled in Medicare?

Yes. Shannon Anastasiadis Pmhnp-Bc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon Anastasiadis Pmhnp-Bc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shannon Anastasiadis Pmhnp-Bc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shannon Anastasiadis Pmhnp-Bc LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shannon Anastasiadis Pmhnp-Bc LLC 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 Shannon Anastasiadis Pmhnp-Bc LLC was last updated on March 24, 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.