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CARY M SHORE DNP-PMHNP
NPI 1346765880
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 06, 2017PECOS Enrolled
555 SE MLK JR BLVD UNIT 105, PORTLAND, OR 97214(503) 664-9451(503) 386-3230 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Apr 3, 2023, Mar 20, 2023 and 3 more (6 updates tracked since 2017).

About Cary M Shore Dnp-pmhnp NPPES

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

CARY M SHORE DNP-PMHNP (NPI 1346765880) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201903897NP-PP) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1346765880
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARY M SHORECredential: DNP-PMHNP
Location Address555 SE MLK JR BLVD UNIT 105Portland, OR 97214-2595
Mailing Address3055 Nw Yeon Ave Suite 606Portland, OR 97210 · (503) 664-9451
Phone(503) 664-9451
Fax(503) 386-3230
Sole ProprietorNo
Enumeration DateAugust 6, 2017
Last NPPES UpdateDecember 3, 20246 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1346765880 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 · 201903897NP-PP✔ Licensed in WA · 2017010049
555 SE MLK JR BLVD UNIT 105, Portland, OR 97214
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 NE 136th Ave Ste 200Vancouver, WA 98684-6937 · Phone (503) 664-9451 · Fax (503) 386-3230

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 (PECOS)

Cary M Shore Dnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97214 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 4

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

MINDRX, LLC
Psychiatry & Neurology (Psychiatry)
555 SE MLK JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (503) 664-9451
MEGHAN CARTWRIGHT DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
555 SE MLK JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (971) 216-5891
CHRYSALIS MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
555 SE MLK JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (971) 216-5891
FREEDOM CARE OF OREGON LLC
In Home Supportive Care
555 SE MLK JR BLVD UNIT 105
PORTLAND, OR 97214
Multnomah County (503) 303-8667

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 Cary Shore's NPI number?

The NPI number for Cary Shore is 1346765880. It was assigned to this individual provider in the NPPES registry on August 6, 2017.

Where is Cary Shore located?

Cary Shore practices at 555 SE Mlk Jr Blvd Unit 105, Portland, OR 97214. The listed phone number is (503) 664-9451.

What is Cary Shore's specialty?

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

Is Cary Shore enrolled in Medicare?

Yes. Cary Shore is registered in the Medicare PECOS enrollment system.

What insurance does Cary Shore accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cary Shore 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 Cary Shore was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.