DR. JEFFREY DANIEL WHITAKER DNP, PMHNP-BC
NPI 1578285219
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Dr. Jeffrey Daniel Whitaker Dnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY DANIEL WHITAKER DNP, PMHNP-BC (NPI 1578285219) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202213055NP-PP) and active in the NPI registry since September 2022. He has opted out of Medicare through February 14, 2027.
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
Dr. Jeffrey Daniel Whitaker Dnp, Pmhnp-bc 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 February 14, 2023 through February 14, 2027.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Whitaker's NPI number?
The NPI number for Jeffrey Whitaker is 1578285219. It was assigned to this individual provider in the NPPES registry on September 19, 2022.
Where is Jeffrey Whitaker located?
Jeffrey Whitaker practices at 1201 SW 12th Ave, Portland, OR 97205. The listed phone number is (971) 251-9856.
What is Jeffrey Whitaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jeffrey Whitaker enrolled in Medicare?
No. Jeffrey Whitaker has opted out of Medicare through February 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jeffrey Whitaker accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jeffrey Whitaker 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 Jeffrey Whitaker was last updated on September 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.
# Dr. Jeffrey Daniel Whitaker, DNP, PMHNP-BC · NPI 1578285219
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1578285219 (Entity type: Individual)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202213055NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 SW 12TH AVE, Portland, OR 97205-2046
- **Phone:** (971) 251-9856
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 14, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1578285219) · Data from the CMS NPPES public registry.