- Medicare Mental Health Clinic in Hillsboro, OR

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is a medicare enrolled mental health clinic (Nurse Practitioner - Psychiatric/mental Health) in Hillsboro, Oregon. The current practice location for is 535 Se Washington St, Hillsboro, Oregon. For appointments, you can reach them via phone at (503) 755-6703. The mailing address for is 7426 N La Cholla Blvd, Tucson, Arizona and phone number is (503) 755-6703.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952860066. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 755-6703.

Contact Information

535 Se Washington St
Hillsboro
OR 97123-4142
(503) 755-6703
(503) 755-6704

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityNurse Practitioner
Location535 Se Washington St, Hillsboro, Oregon
Authorized Official Name and PositionCarmen L Kosicek (OWNER, PROVIDER)
Authorized Official Contact5037556703
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

7426 N La Cholla Blvd
Tucson
AZ 85741-2306

Ph: (503) 755-6703
535 Se Washington St
Hillsboro
OR 97123-4142

Ph: (503) 755-6703

NPI Details:

NPI Number1952860066
Provider Enumeration Date03/18/2019
Last Update Date10/10/2024
Certification Date10/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9032537329
Medicare Enrollment IDO20200918000789

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952860066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM2500XClinic/center - Medical Specialty (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameCarmen Kosicek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255863767
PECOS PAC ID: 3375800857
Enrollment ID: I20200918000878
Provider NameDebra L Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801265053
PECOS PAC ID: 6406163591
Enrollment ID: I20221217000354
Provider NameAlexandra Morgan Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306550025
PECOS PAC ID: 4183089352
Enrollment ID: I20230424002169
Provider NameAmber Renee Hoberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003122532
PECOS PAC ID: 9638366883
Enrollment ID: I20241016001496
Provider NameAna Maria Tattersall-cocke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699727214
PECOS PAC ID: 4284682477
Enrollment ID: I20241017001055
Provider NameElizabeth Lynn Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285469643
PECOS PAC ID: 9133653520
Enrollment ID: I20241107001781
Provider NameNatalie Monique Quick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790969707
PECOS PAC ID: 0941734214
Enrollment ID: I20241108001250
Provider NameCheryl Headley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306542824
PECOS PAC ID: 8527424654
Enrollment ID: I20241108002311
Provider NameJennifer Kuizon Shocklie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265674121
PECOS PAC ID: 7911431218
Enrollment ID: I20241108002376
Provider NameGabriel Nwannebuike Obu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831749720
PECOS PAC ID: 6507227774
Enrollment ID: I20241108002709
Provider NameCrystal Wheeler Higbe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811623184
PECOS PAC ID: 6901330216
Enrollment ID: I20241108002921
Provider NameMia Whittaker Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881307031
PECOS PAC ID: 2163874397
Enrollment ID: I20241110000011
Provider NameShannon Baker Hummel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043959372
PECOS PAC ID: 2769865146
Enrollment ID: I20241111001693
Provider NameTina Marie Matthews-hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063726578
PECOS PAC ID: 3375770829
Enrollment ID: I20241111001960
Provider NamePeta Gay Sheryl Ann Bezek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396281911
PECOS PAC ID: 4284901372
Enrollment ID: I20241111002679
Provider NameChristine Marie Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003512443
PECOS PAC ID: 5193181170
Enrollment ID: I20241111002697

Reviews and Comments

Nurse Practitioner in Hillsboro, OR


Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 446 Se Washington St, Hillsboro, OR 97123
Phone: 210-254-3618    Fax: 210-881-9022
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Phone: 971-238-4408    
Tuality Healthcare
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Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123
Phone: 503-681-1111    
Hillsboro Family Therapy, Llc
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Practice Location: 862 Se Oak St Ste 1b, Hillsboro, OR 97123
Phone: 503-268-9196    
Youth Contact, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 447 Se Baseline St, Hillsboro, OR 97123
Phone: 503-640-4222    Fax: 503-640-0334

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.