AUBREY SHAW HETLAND
NPI 1881104057
Counselor - Mental Health in Medford, OR
About Aubrey Shaw Hetland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUBREY SHAW HETLAND (NPI 1881104057) is an individual mental health provider in Medford, Oregon and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Aubrey Shaw Hetland 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 Reassignment
Medicare enrollment records show Aubrey Shaw Hetland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 40 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aubrey Shaw Hetland's NPI number?
The NPI number for Aubrey Shaw Hetland is 1881104057. It was assigned to this individual provider in the NPPES registry on October 2, 2017. The provider is also known as Aubrey Shaw.
Where is Aubrey Shaw Hetland located?
Aubrey Shaw Hetland practices at 1175 E Main St Ste 1C, Medford, OR 97504. The listed phone number is (541) 772-0127.
What is Aubrey Shaw Hetland's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Aubrey Shaw Hetland enrolled in Medicare?
Yes. Aubrey Shaw Hetland 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 organization bills Medicare for Aubrey Shaw Hetland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aubrey Shaw Hetland reassigns Medicare benefits to Portland Dbt Institute, Inc. (Portland, OR). The 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 Aubrey Shaw Hetland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aubrey Shaw Hetland accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Aubrey Shaw Hetland 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 Aubrey Shaw Hetland was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Aubrey Shaw Hetland · NPI 1881104057
Mental Health provider in Medford, Oregon. Individual provider, active in the CMS NPPES registry since October 2, 2017.
## Identity
- **NPI:** 1881104057 (Entity type: Individual)
- **Enumerated:** October 2, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1175 E MAIN ST STE 1C, Medford, OR 97504-7457
- **Phone:** (541) 772-0127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Portland Dbt Institute, Inc. (NPI 1073853966, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881104057) · Data from the CMS NPPES public registry.