JACOB RYAN STRADLING (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124704895
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JACOB RYAN STRADLING (PMHNP)
281 LACLAIR ST
COOS BAY, OR 974202988
Phone: (541) 266-6700
Fax: (541) 888-8726
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,573.
Total Amount is formed as General ($1,573) + Research ($0) + Ownership ($0) = $1,573.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($335).
Total Amount
$1,573
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,573
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $335 |
| Janssen Pharmaceuticals, Inc | $294 |
| Supernus Pharmaceuticals, Inc. | $278 |
| Otsuka America Pharmaceutical, Inc. | $254 |
| Lundbeck LLC | $89 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251124003119 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MT | |
| - | OR | |
| Nurse Practitioner | NV | |
| - | OR |
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