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COURTNEY ANN MCCALLUM APRN PMHNP
NPI 1538315015
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 15, 2008PECOS EnrolledAccepts Medicare Assignment
14305 SW 112TH AVE, PORTLAND, OR 97224(503) 660-2418 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Courtney Ann Mccallum Aprn Pmhnp NPPES

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

COURTNEY ANN MCCALLUM APRN PMHNP (NPI 1538315015) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10025683) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2023).

NPPES Registry Identity

NPI1538315015
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY ANN MCCALLUMCredential: APRN PMHNP
Location Address14305 SW 112TH AVEPortland, OR 97224-3705
Mailing Address14305 Sw 112th AvePortland, OR 97224-3705 · (503) 660-2418
Phone(503) 660-2418
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023
Enumeration DateAugust 15, 2008
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1538315015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10025683
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 200841828RN (OR)
14305 SW 112TH AVE, Portland, OR 97224
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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., 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

Courtney Ann Mccallum Aprn 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 ID3274077003
PECOS Enrollment IDI20240703000698
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 97224 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

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

MCCALLUM PSYCHIARTY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
14305 SW 112TH AVE
TIGARD, OR 97224
Washington County (503) 660-2418

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 Courtney Mccallum's NPI number?

The NPI number for Courtney Mccallum is 1538315015. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Courtney Mccallum located?

Courtney Mccallum practices at 14305 SW 112th Ave, Portland, OR 97224. The listed phone number is (503) 660-2418.

What is Courtney Mccallum's specialty?

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

Is Courtney Mccallum enrolled in Medicare?

Yes. Courtney Mccallum 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 Courtney Mccallum accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Courtney Mccallum 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 Courtney Mccallum was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.