SHAYNA LOOMIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427812080

SHAYNA LOOMIS (PMHNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 21728751 (OR). The NPI Number for SHAYNA LOOMIS (PMHNP) is 1427812080

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SHAYNA LOOMIS (PMHNP)
NPI
1427812080
Phone
(971) 227-4064
Address
3499 NW THURMAN ST
Enumeration Date
13 February 2024
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8559404867
Graduation Year
2024 (2 years ago)
PAC ID
3274060462
Group Practice PAC ID
1254605140
Professional Enrollment ID
I20241230002747
Address ID
OR972256664PO9555XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for SHAYNA LOOMIS (PMHNP)

  • 3499 NW THURMAN ST

    PORTLAND, OR 972101283

    Phone: (971) 227-4064

    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)

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: 2024-12-30

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
I20241230002747INurse 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 97210)

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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: 1254605140View full group profile
NameSpecialtyState
P S Y C H I A T R YMD
Psychiatry, Osteopathic Manipulative MedicineCA
Psychiatry, NeuropsychiatryCA
P S Y C H I A T R YCA
P S Y C H I A T R YOR
P S Y C H I A T R YNY
P S Y C H I A T R YCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Where can patients find SHAYNA LOOMIS (PMHNP)'s NPI?
You can confirm SHAYNA LOOMIS (PMHNP) with NPI 1427812080; it appears in the national provider directory.
Is SHAYNA LOOMIS (PMHNP)'s NPI currently valid?
The extract we use shows SHAYNA LOOMIS (PMHNP) as active.
What kind of provider is SHAYNA LOOMIS (PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for SHAYNA LOOMIS (PMHNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHAYNA LOOMIS (PMHNP)?
The page summarizes Portland, Oregon for SHAYNA LOOMIS (PMHNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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