Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANNEMIEKE CLARK EMCH PMHNP
NPI 1295239168
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since March 23, 2018Opted out of Medicare · through Apr 1, 2027
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006(503) 741-2735(503) 308-7222 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Nov 26, 2025, Apr 5, 2025 and 9 more (12 updates tracked since 2018).

About Annemieke Clark Emch Pmhnp NPPES

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

ANNEMIEKE CLARK EMCH PMHNP (NPI 1295239168) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (201805147NP-PP) and active in the NPI registry since March 2018. She has opted out of Medicare through April 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295239168
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNEMIEKE CLARK EMCHCredential: PMHNP
Location Address1500 NW BETHANY BLVD STE 200Beaverton, OR 97006-5236
Mailing Address1500 Nw Bethany Blvd Ste 200Beaverton, OR 97006-5236 · (503) 741-2735 · Fax (503) 308-7222
Fax(503) 308-7222
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateJuly 16, 202612 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1295239168 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
Licenses Licensed in OR · 201805147NP-PP Licensed in WA · AP60866557
1500 NW BETHANY BLVD STE 200, Beaverton, OR 97006

Other Names 1

Former Name (1)Annemieke Clark

Secondary Practice Locations 2

Location 16700 SW 105th Ave Ste 303Beaverton, OR 97008-8825 · Phone (503) 741-2735 · Fax (503) 308-7222
Location 28196 SW Hall Blvd Ste 319Beaverton, OR 97008-4035 · Phone (503) 741-2735 · Fax (503) 308-7222

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Annemieke Clark Emch Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Psychologist (Clinical)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Nurse Practitioner (Family)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Psychologist
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Psychiatry & Neurology (Psychiatry)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Massage Therapist
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Pain Medicine (Pain Medicine)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006

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 Annemieke Emch's NPI number?

The NPI number for Annemieke Emch is 1295239168. It was assigned to this individual provider in the NPPES registry on March 23, 2018. The provider is also known as Annemieke Clark.

Where is Annemieke Emch located?

Annemieke Emch practices at 1500 NW Bethany Blvd Ste 200, Beaverton, OR 97006. The listed phone number is (503) 741-2735.

What is Annemieke Emch's specialty?

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

Is Annemieke Emch enrolled in Medicare?

No. Annemieke Emch has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Annemieke Emch accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Annemieke Emch 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 Annemieke Emch was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.