SALLY ROTHACKER PEYTON APRNCS, PMH-NP
NPI 1952386732
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Sally Rothacker Peyton's NPI number?

The NPI number for Sally Rothacker Peyton is 1952386732. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Sally Rothacker Peyton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 14, 2005

619 NW 6TH AVE FL 3, PORTLAND, OR 97209(503) 988-3663(503) 988-4098 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sally Rothacker Peyton Aprncs, Pmh-np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY ROTHACKER PEYTON APRNCS, PMH-NP (NPI 1952386732) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Maine (R042060) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1952386732

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSALLY ROTHACKER PEYTONCredential: APRNCS, PMH-NP

Location Address619 NW 6TH AVE FL 3Portland, OR 97209-3964

Mailing Address619 Nw 6th Ave Fl 5Portland, OR 97209-3964

Phone(503) 988-3663

Fax(503) 988-4098

Sole ProprietorNo

Enumeration DateDecember 14, 2005

Last NPPES UpdateNovember 26, 2019

✔ NPI 1952386732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in ME · R042060

619 NW 6TH AVE FL 3, Portland, OR 97209

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Other Identifiers 1

Medicaid123350000ME

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

10%29 patients1/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

84%232 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

45%76 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

73%66 patients4/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 100% · 46 patients

100%46 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREVIS JOSHUA HUTSELL RN, BSN

Registered Nurse (Community Health)