MRS. CAROL SHYCHY WILLEFORD PMHNP
NPI 1548260268
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Mrs. Carol Shychy Willeford Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROL SHYCHY WILLEFORD PMHNP (NPI 1548260268) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (080044854N6) and active in the NPI registry since July 2005. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Carol Shychy Willeford Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97232
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 Carol Willeford's NPI number?
The NPI number for Carol Willeford is 1548260268. It was assigned to this individual provider in the NPPES registry on July 22, 2005.
Where is Carol Willeford located?
Carol Willeford practices at 1525 NE Weidler St Suite 101, Portland, OR 97232. The listed phone number is (503) 525-1143.
What is Carol Willeford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Carol Willeford enrolled in Medicare?
No. Carol Willeford has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Carol Willeford accept?
Health plans from Moda Health Plan, Inc. list Carol Willeford 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 Carol Willeford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Carol Shychy Willeford, PMHNP · NPI 1548260268
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1548260268 (Entity type: Individual)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 080044854N6 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 NE WEIDLER ST, SUITE 101, Portland, OR 97232-1410
- **Phone:** (503) 525-1143 · **Fax:** (503) 287-0212
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1548260268) · Data from the CMS NPPES public registry.