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TERYL JAN CLENDENIN PMHNP
NPI 1295161560
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 18, 2013PECOS EnrolledAccepts Medicare Assignment
5331 SW MACADAM AVE, SUITE 209, PORTLAND, OR 97239(503) 567-1062 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teryl Jan Clendenin Pmhnp NPPES

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

TERYL JAN CLENDENIN PMHNP (NPI 1295161560) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201392026NP) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295161560
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTERYL JAN CLENDENINCredential: PMHNP
Location Address5331 SW MACADAM AVE, SUITE 209Portland, OR 97239
Mailing Address5331 Sw Macadam Ave, Suite 209Portland, OR 97239 · (503) 567-1062
Phone(503) 567-1062
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 18, 2013
Last NPPES UpdateJuly 16, 2015
✔ NPI 1295161560 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 · 201392026NP
5331 SW MACADAM AVE, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teryl Jan Clendenin Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577809797
PECOS Enrollment IDI20190109001528
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 97239 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.

MR. STUART MARK JACKSON LCSW
Social Worker (Clinical)
5331 SW MACADAM AVE, SUITE 363
PORTLAND, OR 97239
Multnomah County (503) 803-1250
EASTSIDE WELLNESS CENTER, LLC
Chiropractor
5331 SW MACADAM AVE, SUITE 105
PORTLAND, OR 97239
Multnomah County (503) 445-7999
CORPO SANO NUTRITION LLC
Nutritionist
5331 SW MACADAM AVE, SUITE 380
PORTLAND, OR 97239
Multnomah County (503) 894-9118
THOMAS MORAN PHD
Psychologist (Clinical)
5331 SW MACADAM AVE, SUITE 363
PORTLAND, OR 97239
Multnomah County (503) 227-4377
OSTEOPATHIC ADVANTAGE
General Practice
5331 SW MACADAM AVE, SUITE 380
PORTLAND, OR 97239
Multnomah County (503) 230-2501
JODI KIRSTEN MORICH D.M.D.
Dentist
5331 SW MACADAM AVE, SUITE 254
PORTLAND, OR 97239
Multnomah County (503) 243-6111
ERICA JOHANNA LIEPELT OTR, CHT
Occupational Therapist (Hand)
5331 SW MACADAM AVE, SUITE 277
PORTLAND, OR 97239
Multnomah County (503) 229-8300
MACADAM DENTAL
Dentist (General Practice)
5331 SW MACADAM AVE, SUITE 254
PORTLAND, OR 97239
Multnomah County (503) 243-6111

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 Teryl Clendenin's NPI number?

The NPI number for Teryl Clendenin is 1295161560. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Teryl Clendenin located?

Teryl Clendenin practices at 5331 SW Macadam Ave Suite 209, Portland, OR 97239. The listed phone number is (503) 567-1062.

What is Teryl Clendenin's specialty?

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

Is Teryl Clendenin enrolled in Medicare?

Yes. Teryl Clendenin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teryl Clendenin accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Teryl Clendenin 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 Teryl Clendenin was last updated on July 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.