CHARLOTTE VANCLEVE PMHNP
NPI 1669865168
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Charlotte Vancleve's NPI number?

The NPI number for Charlotte Vancleve is 1669865168. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Q: What is Charlotte Vancleve's specialty?

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

Active since March 09, 2015PECOS Enrolled

1312 SW WASHINGTON ST, PORTLAND, OR 97205(503) 535-1150(503) 535-1192 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charlotte Vancleve Pmhnp NPPES

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

CHARLOTTE VANCLEVE PMHNP (NPI 1669865168) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201909205NP-PP) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669865168

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHARLOTTE VANCLEVECredential: PMHNP

Location Address1312 SW WASHINGTON STPortland, OR 97205-2327

Mailing Address1312 Sw Washington StPortland, OR 97205-2327

Phone(503) 535-1150

Fax(503) 535-1192

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 9, 2015

Last NPPES UpdateOctober 25, 2019

✔ NPI 1669865168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201909205NP-PP

1312 SW WASHINGTON ST, Portland, OR 97205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Providence Health Plan.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)

Charlotte Vancleve Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476022492

PECOS Enrollment IDI20260519002004

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 97205 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 20

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

MS. HAYLEY MOORE

Counselor (Addiction (Substance Use Disorder))