MR. SCHUYLER BLAKE ELLIS PMHNP-BC NPI 1538709738

NPI Information

  • NPI: 1538709738
  • Provider Name: MR. SCHUYLER BLAKE ELLIS, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 308 NW 11TH AVE FL 2
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 379-1902

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NPI Details

MR. Schuyler Blake Ellis, PMHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR with 6 years of experience. MR. Schuyler Blake Ellis, PMHNP-BC NPI is 1538709738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2019

The provider's business location address is:

308 NW 11TH AVE FL 2
PORTLAND, OR
ZIP 97209-980
Phone: (503) 379-1902
Fax: (503) 217-2023

The NPI 1538709738 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 1/15/2020 and was last updated on 12/19/2022.

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
1163WP0808XRegistered NursePsychiatric/Mental HealthRN61052586WASHINGTONNo
2163WP0808XRegistered NursePsychiatric/Mental Health202001267RNOREGONNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61052588WASHINGTONNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health202001770NP-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: 3/30/2025

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