ELISE J MAHONEY FNP, PMHNP-BC
NPI 1790054831
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Elise J Mahoney Fnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE J MAHONEY FNP, PMHNP-BC (NPI 1790054831) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201502876NP-PP) and active in the NPI registry since December 2011. She has opted out of Medicare through April 1, 2027.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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
Elise J Mahoney Fnp, 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 April 1, 2025 through April 1, 2027.
Areas of Expertise CMS Part B claims
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.
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 97220
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 Elise Mahoney's NPI number?
The NPI number for Elise Mahoney is 1790054831. It was assigned to this individual provider in the NPPES registry on December 19, 2011.
Where is Elise Mahoney located?
Elise Mahoney practices at 1321 NE 99th Ave Suite 100, Portland, OR 97220. The listed phone number is (503) 215-4050.
What is Elise Mahoney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elise Mahoney enrolled in Medicare?
No. Elise Mahoney has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Elise Mahoney accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elise Mahoney 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 Elise Mahoney was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Elise J Mahoney, FNP, PMHNP-BC · NPI 1790054831
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since December 19, 2011.
## Identity
- **NPI:** 1790054831 (Entity type: Individual)
- **Enumerated:** December 19, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201502876NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1321 NE 99TH AVE, SUITE 100, Portland, OR 97220-9436
- **Phone:** (503) 215-4050
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 26, 2025
- **Other identifiers:** Medicaid 500690415 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1790054831) · Data from the CMS NPPES public registry.