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AVERY PSYCHIATRIC CARE LLC
NPI 1457138984
Nurse Practitioner - Psychiatric/Mental Health in Lincoln City, OR

Active since September 08, 2023
4741 SW HIGHWAY 101 STE A, LINCOLN CITY, OR 97367(541) 351-9494 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2026, Sep 8, 2023 (2 updates tracked since 2023).

About Avery Psychiatric Care Llc NPPES

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

AVERY PSYCHIATRIC CARE LLC (NPI 1457138984) is a healthcare organization registered as a psychiatric/mental health in Lincoln City, Oregon and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Colorado Springs and lists Debra Kay Avery, Owner, as its authorized official.

NPPES Registry Identity

NPI1457138984
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAVERY PSYCHIATRIC CARE LLC
Location Address4741 SW HIGHWAY 101 STE ALincoln City, OR 97367-1574
Mailing Address4741 Sw Highway 101 Ste ALincoln City, OR 97367-1574 · (541) 351-9494
Phone(541) 351-9494
Organization SubpartNo
Authorized OfficialDebra Kay AveryOwner · (719) 900-8546
Enumeration DateSeptember 8, 2023
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1457138984 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
4741 SW HIGHWAY 101 STE A, Lincoln City, OR 97367
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Secondary Practice Location 1

Location 11277 Kelly Johnson Blvd Ste 160Colorado Springs, CO 80920-3992 · Phone (541) 351-9494

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

Avery Psychiatric Care 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 Avery Psychiatric Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Avery, PMHNP-BC
Nurse Practitioner
NPI 1962065664
4741 SW HIGHWAY 101 STE A
Lincoln City, OR 97367
(541) 351-9494
✔ PECOS✔ Accepts MedicareSame address

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 Avery Psychiatric Care LLC's NPI number?

The NPI number for Avery Psychiatric Care LLC is 1457138984. It was assigned to this organization in the NPPES registry on September 8, 2023.

Where is Avery Psychiatric Care LLC located?

Avery Psychiatric Care LLC is located at 4741 SW Highway 101 Ste A, Lincoln City, OR 97367. The listed phone number is (541) 351-9494.

What is Avery Psychiatric Care LLC's specialty?

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

Is Avery Psychiatric Care LLC enrolled in Medicare?

Yes. Avery Psychiatric Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avery Psychiatric Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avery Psychiatric Care 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 Avery Psychiatric Care LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Avery Psychiatric Care 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 Avery Psychiatric Care LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.