Tara Ericksen, NP - Medicare Nurse Practitioner in Portland, OR

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Tara Ericksen, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Psychiatry Inc, Western Psychological And Counseling Services Pc and her current practice location is 4224 Ne Halsey St Ste 335, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 922-6616.

Tara Ericksen is licensed to practice in Oregon (license number 202105081) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780157115.

Contact Information

Tara Ericksen, NP
4224 Ne Halsey St Ste 335,
Portland, OR 97213-1568
(503) 922-6616
Not Available

Map and Direction




Provider's Profile

Full NameTara Ericksen
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location4224 Ne Halsey St Ste 335, Portland, Oregon
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Ericksen graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1780157115
  • Provider Enumeration Date: 01/08/2019
  • Last Update Date: 04/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406187657
  • Enrollment ID: I20191018002716

Medical Identifiers

Medical identifiers for Tara Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780157115NPI-NPPES
NP95010525OtherCANURSE PRACTITIONER AND FURNISHING LICENSE
202105081OtherORNURSE PRACTITIONER LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 202105081 (Oregon)Primary
363LW0102XNurse Practitioner - Women's Health NP95010525 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Psychiatry Inc63052776334
Western Psychological And Counseling Services Pc771997508579

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Ericksen allows following entities to bill medicare on her behalf.
Entity NameAxis Community Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376760546
PECOS PAC ID: 7012975071
Enrollment ID: O20041222000621
Entity NameOcean Psychiatry Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396306338
PECOS PAC ID: 6305277633
Enrollment ID: O20200520002277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Ericksen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tara Ericksen, NP
6944 Se Stark St,
Portland, OR 97215-2153

Ph: (503) 997-2222		Tara Ericksen, NP
4224 Ne Halsey St Ste 335,
Portland, OR 97213-1568

Ph: (503) 922-6616

Reviews and Comments


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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.