AMY PATRICIA THEALL PMHNP-BC
NPI 1912461088
Nurse Practitioner - Psychiatric/Mental Health in Lakeview, OR
About Amy Patricia Theall Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY PATRICIA THEALL PMHNP-BC (NPI 1912461088) is an individual psychiatric/mental health provider in Lakeview, Oregon, licensed in Oregon (2020167949) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Amy Patricia Theall Pmhnp-bc 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 97630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Amy Theall's NPI number?
The NPI number for Amy Theall is 1912461088. It was assigned to this individual provider in the NPPES registry on January 23, 2019.
Where is Amy Theall located?
Amy Theall practices at 700 S J St, Lakeview, OR 97630. The listed phone number is (541) 947-2114.
What is Amy Theall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Amy Theall enrolled in Medicare?
Yes. Amy Theall 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 Amy Theall accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amy Theall 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 Amy Theall was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amy Patricia Theall, PMHNP-BC · NPI 1912461088
Psychiatric/Mental Health physician in Lakeview, Oregon. Individual provider, active in the CMS NPPES registry since January 23, 2019.
## Identity
- **NPI:** 1912461088 (Entity type: Individual)
- **Enumerated:** January 23, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2020167949 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S J ST, Lakeview, OR 97630-1623
- **Phone:** (541) 947-2114
## 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 2021
## Record status
- **NPPES last updated:** June 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912461088) · Data from the CMS NPPES public registry.