Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELISE J MAHONEY FNP, PMHNP-BC
NPI 1790054831
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Q: 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.

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Elise Mahoney was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since December 19, 2011Opted out of Medicare · through Apr 1, 2027

1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006(503) 741-2735(503) 308-7222 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, Nov 26, 2025, Nov 7, 2024 and 4 more (7 updates tracked since 2016).

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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 Beaverton, 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 and maintains a secondary practice location in Clackamas.

NPPES Registry Identity

NPI1790054831

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameELISE J MAHONEYCredential: FNP, PMHNP-BC

Location Address1500 NW BETHANY BLVD STE 200Beaverton, OR 97006-5236

Mailing Address1500 Nw Bethany Blvd Ste 200Beaverton, OR 97006-5236 · (503) 741-2735 · Fax (503) 308-7222

Phone(503) 741-2735

Fax(503) 308-7222

Sole ProprietorNo

Enumeration DateDecember 19, 2011

Last NPPES UpdateAugust 26, 20267 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1790054831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 201502876NP-PP✔ Licensed in WA · AP61239945

Also ListedNurse PractitionerTaxonomy 363L00000X · License 201502876NP-PP (OR)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201502876NP-PP (OR)

1500 NW BETHANY BLVD STE 200, Beaverton, OR 97006

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Secondary Practice Location 1

Location 18800 SE Sunnyside Rd Ste 257-SClackamas, OR 97015-5738 · Phone (503) 741-2735 · Fax (503) 308-7222

Other Identifiers 1

Medicaid500690415OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

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.

48 services48 patients

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.

ALYSSA AURISY PMHNP

Nurse Practitioner (Psychiatric/Mental Health)