ELISABETH RUTH DECELLES PMHNP NPI 1114435807

NPI Information

  • NPI: 1114435807
  • Provider Name: ELISABETH RUTH DECELLES, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1233 EDGEWATER ST NW
    SALEM, OR
    ZIP 97304
  • Phone: (503) 378-7526

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NPI Details

Elisabeth Ruth Decelles, PMHNP is a psychiatric/mental health nurse practitioner in Salem, OR with 9 years of experience. Elisabeth Ruth Decelles, PMHNP NPI is 1114435807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1233 EDGEWATER ST NW
SALEM, OR
ZIP 97304-049
Phone: (503) 378-7526

The NPI 1114435807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2018 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP10900ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health201902988NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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