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MR. SCHUYLER BLAKE ELLIS PMHNP-BC
NPI 1538709738
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
308 NW 11TH AVE FL 2, PORTLAND, OR 97209(503) 379-1902(503) 217-2023 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 19, 2022, Jun 15, 2020, Feb 28, 2020 and 2 more (5 updates tracked since 2020).

About Mr. Schuyler Blake Ellis Pmhnp-bc NPPES

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

MR. SCHUYLER BLAKE ELLIS PMHNP-BC (NPI 1538709738) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202001770NP-PP) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2019).

NPPES Registry Identity

NPI1538709738
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SCHUYLER BLAKE ELLISCredential: PMHNP-BC
Location Address308 NW 11TH AVE FL 2Portland, OR 97209-2980
Mailing Address5621 Se 65th AvePortland, OR 97206-5426 · (785) 817-5968
Phone(503) 379-1902
Fax(503) 217-2023
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2019
Enumeration DateJanuary 15, 2020
Last NPPES UpdateDecember 19, 20225 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1538709738 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
Licenses✔ Licensed in OR · 202001770NP-PP✔ Licensed in WA · AP61052588
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN61052586 (WA), 202001267RN (OR)
308 NW 11TH AVE FL 2, Portland, OR 97209
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Schuyler Blake Ellis Pmhnp-bc 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 ID6608284260
PECOS Enrollment IDI20210420001116
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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.

SVETLANA ORLOVA
Nurse Practitioner (Psychiatric/Mental Health)
308 NW 11TH AVE FL 2
PORTLAND, OR 97209
Multnomah County (360) 852-0350

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 Schuyler Ellis's NPI number?

The NPI number for Schuyler Ellis is 1538709738. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Schuyler Ellis located?

Schuyler Ellis practices at 308 NW 11th Ave Fl 2, Portland, OR 97209. The listed phone number is (503) 379-1902.

What is Schuyler Ellis's specialty?

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

Is Schuyler Ellis enrolled in Medicare?

Yes. Schuyler Ellis 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 Schuyler Ellis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Schuyler Ellis 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 Schuyler Ellis was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.