ANNA MARIE BISHOP (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235696154

ANNA MARIE BISHOP (PMHNP-BC) is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 201606029RN (OR). The NPI Number for ANNA MARIE BISHOP (PMHNP-BC) is 1235696154

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ANNA MARIE BISHOP (PMHNP-BC)
NPI
1235696154
Phone
(541) 858-8170
Address
3587 HEATHROW WAY
Enumeration Date
27 February 2019
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039720235
Graduation Year
2023 (3 years ago)
PAC ID
2668917329
Group Practice PAC ID
9739343245
Professional Enrollment ID
I20240717003366
Address ID
OR972092704PO923XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

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Provider Addresses for ANNA MARIE BISHOP (PMHNP-BC)

  • Columbia Care Services, 3587, Heathrow Way, Medford, Jackson County, Oregon, 97502, United States

    MEDFORD, OR 975044004

    Phone: (541) 858-8170

    Fax: (541) 858-8167

    Type: Mailing

  • 3200, Juanipero Way, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 97504

    Phone: (541) 816-4131

    Fax: (458) 226-2163

    Type: Location

  • 15 CRATER LAKE AVE

    MEDFORD, OR 975047444

    Phone: (541) 770-5100

    Fax: (541) 770-5070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240717003366INurse PractitionerORTBD

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.

Verify on CMS Revalidation Lookup Tool

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 97504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739343245View full group profile
NameSpecialtyState
Nurse PractitionerOR
Internal Medicine, Family PracticeOR
Nurse PractitionerOR
Nurse PractitionerMN
Mental Health CounselorOR
Nurse PractitionerOR
Nurse PractitionerIN
-OR
Clinical Social WorkerMI
Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I cross-check ANNA MARIE BISHOP (PMHNP-BC) using NPI 1235696154?
NPI 1235696154 belongs to ANNA MARIE BISHOP (PMHNP-BC); compare other details if you need extra assurance.
Would ANNA MARIE BISHOP (PMHNP-BC) appear as active to a payer?
You can treat ANNA MARIE BISHOP (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANNA MARIE BISHOP (PMHNP-BC)?
ANNA MARIE BISHOP (PMHNP-BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is ANNA MARIE BISHOP (PMHNP-BC) located near Medford?
ANNA MARIE BISHOP (PMHNP-BC) currently maps to Medford, Oregon in this extract.
Can I trust this NPI listing for ANNA MARIE BISHOP (PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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