DR. ANTONIA PEREZ (NP-PP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619377322

DR. ANTONIA PEREZ (NP-PP) is a healthcare provider. based in North bend, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-PP. They hold a License No. AP129913 (TX). The NPI Number for DR. ANTONIA PEREZ (NP-PP) is 1619377322

Main info

Female
12 Years Of Experience
Name
DR. ANTONIA PEREZ (NP-PP)
NPI
1619377322
Phone
(541) 756-6232
Address
1890 WAITE STREET STE 1
Enumeration Date
29 August 2014
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414357033
Graduation Year
2014 (12 years ago)
PAC ID
9931426558
Group Practice PAC ID
5698740355
Professional Enrollment ID
I20230215000855
Address ID
OR974591229NO1890XSTXX302

Contacts

Secure Messaging
antonia.perez.p1@direct.lscctx.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:11State licenses:4Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DR. ANTONIA PEREZ (NP-PP)

  • 1890 WAITE STREET STE 1

    NORTH BEND, OR 97459

    Phone: (541) 756-6232

    Fax: (541) 756-6234

    Type: Mailing

  • 205 E UNIVERSITY AVE STE 200

    GEORGETOWN, TX 786266821

    Phone: (877) 800-5722

    Fax: (512) 869-2940

    Type: Mailing

  • 8913 COLLINFIELD DR UNIT 1

    AUSTIN, TX 787586704

    Phone: (877) 800-5722

    Fax: (512) 873-7300

    Type: Location

  • 8913 Collinfield Dr Unit 1

    Austin, TX 787586704

    Phone: (877) 800-5722

    Fax: (512) 873-7300

    Type: Location

  • PO BOX 3190

    COOS BAY, OR 974200407

    Phone: (541) 888-9494

    Type: Mailing

  • 2401 RIVER RD STE 101

    EUGENE, OR 974045412

    Phone: (541) 888-9494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-15

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
I20230215000855INurse 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 97459)

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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: 5698740355View full group profile
NameSpecialtyState
Mental Health CounselorID
Nurse PractitionerOR
Nurse PractitionerNV
Clinical Social WorkerOR
-CA
Mental Health CounselorMI
Nurse PractitionerOR
-OR
Nurse PractitionerMS
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is there an official ID for DR. ANTONIA PEREZ (NP-PP) in U.S. healthcare records?
The official identifier for DR. ANTONIA PEREZ (NP-PP) is NPI 1619377322.
Is DR. ANTONIA PEREZ (NP-PP) still an active registrant?
DR. ANTONIA PEREZ (NP-PP) carries an active NPI according to the public dataset.
How would a patient describe DR. ANTONIA PEREZ (NP-PP)'s focus?
For DR. ANTONIA PEREZ (NP-PP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ANTONIA PEREZ (NP-PP)?
Travel planning: use North Bend, Oregon as the reference point for DR. ANTONIA PEREZ (NP-PP), then confirm.
When was this NPI issued?
Enumeration for DR. ANTONIA PEREZ (NP-PP) is noted as August 29, 2014 where the registry provides it.

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