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TRYSTAN ROSE
NPI 1558801019
Counselor - Mental Health in Portland, OR

Active since March 03, 2017PECOS Enrolled
5100 SW MACADAM AVE, # 400, PORTLAND, OR 97239(503) 244-5211 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trystan Rose NPPES

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

TRYSTAN ROSE (NPI 1558801019) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558801019
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRYSTAN ROSE
Location Address5100 SW MACADAM AVE, # 400Portland, OR 97239-6102
Mailing Address5100 Sw Macadam Ave, # 400Portland, OR 97239-6102 · (503) 244-5211
Phone(503) 244-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 3, 2017
✔ NPI 1558801019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5100 SW MACADAM AVE, Portland, OR 97239
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trystan Rose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264939412
PECOS Enrollment IDI20251007000212
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.

Other Providers at the Same Location NPPES 20

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

MS. SUSAN IRENE SMITH RN, FNP
Nurse Practitioner (Family)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Multnomah County (971) 202-5500
CATHIE L GURGEL NP
Nurse Practitioner (Family)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Multnomah County (971) 202-5500
VIRGINIA LEE HARRIS NP
Nurse Practitioner (Gerontology)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Multnomah County (971) 202-5500
CRISTINA STANESCU
Counselor
5100 SW MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 244-5211
JOANNE LIND
Counselor (Mental Health)
5100 SW MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 244-5211
ANDREA GARDNER
Social Worker (Clinical)
5100 SW MACADAM AVE, SUITE 400
PORTLAND, OR 97239
Multnomah County (971) 244-1363
DR. ANDREW GORDON SPERLIN MD
Internal Medicine
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Multnomah County (971) 202-5500
DEBORAH ZWETCHKENBAUM
Counselor (Mental Health)
5100 SW MACADAM AVE, SUITE 400
PORTLAND, OR 97239
Multnomah County (503) 244-5211

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 Trystan Rose's NPI number?

The NPI number for Trystan Rose is 1558801019. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is Trystan Rose located?

Trystan Rose practices at 5100 SW Macadam Ave # 400, Portland, OR 97239. The listed phone number is (503) 244-5211.

What is Trystan Rose's specialty?

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

Is Trystan Rose enrolled in Medicare?

Yes. Trystan Rose is registered in the Medicare PECOS enrollment system.

What insurance does Trystan Rose accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Trystan Rose 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 Trystan Rose was last updated on March 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.