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MS. SYDNEE RENEE ETTELSON
NPI 1407300759
Counselor - Mental Health in Mcminnville, OR

Active since August 03, 2016PECOS Enrolled
2086 NE LUCY BELLE ST, MCMINNVILLE, OR 97128(503) 208-6643 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sydnee Renee Ettelson NPPES

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

MS. SYDNEE RENEE ETTELSON (NPI 1407300759) is an individual mental health provider in Mcminnville, Oregon and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407300759
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SYDNEE RENEE ETTELSON
Location Address2086 NE LUCY BELLE STMcminnville, OR 97128-9261
Mailing Address2086 Ne Lucy Belle StMcminnville, OR 97128-9261 · (503) 208-6643
Phone(503) 208-6643
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 3, 2016
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1407300759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2086 NE LUCY BELLE ST, Mcminnville, OR 97128
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sydnee Renee Ettelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961992243
PECOS Enrollment IDI20251105002810
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 Sydnee Ettelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Healing NW LLC
Same address
Mental Health
2086 NE LUCY BELLE ST
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1619741568 (503) 208-6643

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

Other Providers at the Same Location NPPES

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

MINDFUL HEALING NW LLC
Counselor (Mental Health)
2086 NE LUCY BELLE ST
MCMINNVILLE, OR 97128
Yamhill County (503) 208-6643

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 Sydnee Ettelson's NPI number?

The NPI number for Sydnee Ettelson is 1407300759. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Sydnee Ettelson located?

Sydnee Ettelson practices at 2086 NE Lucy Belle St, Mcminnville, OR 97128. The listed phone number is (503) 208-6643.

What is Sydnee Ettelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sydnee Ettelson enrolled in Medicare?

Yes. Sydnee Ettelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sydnee Ettelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydnee Ettelson reassigns Medicare benefits to Mindful Healing NW LLC (Mcminnville, OR). The 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 Sydnee Ettelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sydnee Ettelson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sydnee Ettelson 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 Sydnee Ettelson was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.