TARA ERICKSEN NP
NPI 1780157115
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment
4224 NE HALSEY ST STE 335, PORTLAND, OR 97213(503) 922-6616 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Sep 25, 2019, Jan 8, 2019 (3 updates tracked since 2019).

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

NPI1780157115
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTARA ERICKSENCredential: NP
Location Address4224 NE HALSEY ST STE 335Portland, OR 97213-1568
Mailing Address6944 Se Stark StPortland, OR 97215-2153 · (503) 997-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 8, 2019
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1780157115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 202105081
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License NP95010525 (CA)
4224 NE HALSEY ST STE 335, Portland, OR 97213

Secondary Practice Locations 3

Location 1920 Happy Valley RdPleasanton, CA 94566-9742 · Phone (925) 404-9327
Location 252 Dore StSan Francisco, CA 94103-3828 · Phone (415) 553-3100
Location 35925 W Las Positas Blvd Ste 100Pleasanton, CA 94588-8537 · Phone (925) 462-1755

Other Identifiers 2

OtherNP95010525CA · Nurse Practitioner And Furnishing License
Other202105081OR · Nurse Practitioner License

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6406187657
PECOS Enrollment IDI20191018002716, I20240520002657
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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
155 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services23 patients

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.

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 10

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

Nurse Practitioner (Psychiatric/Mental Health)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Psychologist
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Counselor (Mental Health)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Counselor (Professional)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Social Worker (Clinical)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Social Worker (Clinical)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Nurse Practitioner (Psychiatric/Mental Health)
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213
Social Worker (Clinical)
4224 NE HALSEY ST STE 335
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.

What insurance does Tara Ericksen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 with the weekly NPPES data releases published by CMS.