Individual provider

Ann Petros, PMHNP

Psychiatric/Mental Health Nurse Practitioner Registered Nurse

Ann Petros, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Portland, OR, registered under NPI 1073779096. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1616 SE BYBEE BLVD., Portland, OR 97202. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1616 SE BYBEE BLVD., Portland, OR 97202 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
200950105NP OR Psychiatric/Mental Health Nurse… primary
200743401RN OR Registered Nurse

This provider holds licence 200950105NP issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 200950105NP OR primary
163W00000X Registered Nurse 200743401RN OR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073779096 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 29, 2008
Last updatedDec 1, 2014
StatusActive
Sole proprietorYes
CredentialPMHNP
Practice address 1616 SE BYBEE BLVD.
Portland, OR 97202
(503) 793-8004
Fax (800) 381-8993
Mailing address P.O. BOX 820153
Portland, OR 97282
This record was last updated on Dec 1, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1073779096 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 7 7 9 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 5 7 9 0 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073779096?
NPI 1073779096 is the National Provider Identifier assigned to Ann Petros, PMHNP in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Ann Petros, PMHNP?
The phone number on file with NPPES is (503) 793-8004, last updated Dec 1, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1073779096 a valid number?
Yes. 1073779096 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.