MARY KATHLEEN EASTON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1487780748

MARY KATHLEEN EASTON (PMHNP) is a healthcare provider. based in Milwaukie, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 081033740N6 (OR). The NPI Number for MARY KATHLEEN EASTON (PMHNP) is 1487780748

Main info

Female
Sole Proprietor
30 Years Of Experience
Name
MARY KATHLEEN EASTON (PMHNP)
NPI
1487780748
Phone
(503) 786-4060
Address
6400 SE LAKE RD
Enumeration Date
23 February 2007
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038030542
Graduation Year
1996 (30 years ago)
PAC ID
4688972003
Professional Enrollment ID
I20180820001178
Address ID
OR970866944HA10131CTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for MARY KATHLEEN EASTON (PMHNP)

  • 6400 SE LAKE RD

    STE 285

    MILWAUKIE, OR 972222129

    Phone: (503) 786-4060

    Fax: (503) 652-6972

    Type: Mailing

  • 10131 SE PALATIAL CT

    HAPPY VALLEY, OR 970866944

    Phone: (503) 786-4060

    Fax: (503) 652-6972

    Type: Location

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: 2018-08-20

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
I20180820001178INurse 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

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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 97222)

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Reviews

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Frequently asked questions

Can I cross-check MARY KATHLEEN EASTON (PMHNP) using NPI 1487780748?
NPI 1487780748 belongs to MARY KATHLEEN EASTON (PMHNP); compare other details if you need extra assurance.
Is MARY KATHLEEN EASTON (PMHNP) shown as active in public data?
Registry records indicate MARY KATHLEEN EASTON (PMHNP) maintains an active NPI.
What kind of doctor is MARY KATHLEEN EASTON (PMHNP)?
MARY KATHLEEN EASTON (PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARY KATHLEEN EASTON (PMHNP)?
Directory geography for MARY KATHLEEN EASTON (PMHNP) centers on Milwaukie, Oregon.
Does MARY KATHLEEN EASTON (PMHNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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