LYDIA ANNE M BARTHOLOW PMHNP
NPI 1790038271
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Lydia Anne M Bartholow Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA ANNE M BARTHOLOW PMHNP (NPI 1790038271) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201250177NP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tigard, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Lydia Anne M Bartholow Pmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97214
PORTLAND, OR 97214
PORTLAND, OR 97214
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 Lydia Anne Bartholow's NPI number?
The NPI number for Lydia Anne Bartholow is 1790038271. It was assigned to this individual provider in the NPPES registry on October 20, 2012.
Where is Lydia Anne Bartholow located?
Lydia Anne Bartholow practices at 1027 E Burnside St, Portland, OR 97214. The listed phone number is (503) 239-8400.
What is Lydia Anne Bartholow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lydia Anne Bartholow enrolled in Medicare?
Yes. Lydia Anne Bartholow 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 Lydia Anne Bartholow accept?
Health plans from Moda Health Plan, Inc. list Lydia Anne Bartholow 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 Lydia Anne Bartholow was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lydia Anne M Bartholow, PMHNP · NPI 1790038271
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 20, 2012.
## Identity
- **NPI:** 1790038271 (Entity type: Individual)
- **Enumerated:** October 20, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201250177NP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1027 E BURNSIDE ST, Portland, OR 97214-1328
- **Phone:** (503) 239-8400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790038271) · Data from the CMS NPPES public registry.