TARA ERICKSEN NP
NPI 1780157115
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Tara Ericksen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ERICKSEN NP (NPI 1780157115) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202105081) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tara Ericksen Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tara Ericksen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97213
PORTLAND, OR 97213
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 Tara Ericksen's NPI number?
The NPI number for Tara Ericksen is 1780157115. It was assigned to this individual provider in the NPPES registry on January 8, 2019.
Where is Tara Ericksen located?
Tara Ericksen practices at 4224 NE Halsey St Ste 335, Portland, OR 97213. The listed phone number is (503) 922-6616.
What is Tara Ericksen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tara Ericksen enrolled in Medicare?
Yes. Tara Ericksen 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.
Which organizations bill Medicare for Tara Ericksen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Ericksen reassigns Medicare benefits to 3 organizations: Western Psychological And Counseling Services LLC (Tacoma, WA), Axis Community Health Inc (Pleasanton, CA) and Ocean Psychiatry Inc (Fremont, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Ericksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Ericksen accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Tara Ericksen 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 Tara Ericksen was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tara Ericksen, NP · NPI 1780157115
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 8, 2019.
## Identity
- **NPI:** 1780157115 (Entity type: Individual)
- **Enumerated:** January 8, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202105081 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4224 NE HALSEY ST STE 335, Portland, OR 97213-1568
- **Phone:** (503) 922-6616
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA); Axis Community Health Inc (NPI 1609249994, Pleasanton, CA); Ocean Psychiatry Inc (NPI 1396306338, Fremont, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 18, 2024
- **Other identifiers:** Other NP95010525 (CA); Other 202105081 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1780157115) · Data from the CMS NPPES public registry.