MR. STACEY WARREN BERRY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942702014
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for MR. STACEY WARREN BERRY (APRN)
890 82nd Dr
Gladstone, OR 970271803
Phone: (971) 229-4009
Type: Location
PO BOX 82819
PORTLAND, OR 972820819
Phone: (503) 233-5405
Type: Mailing
880, 82nd Drive, Gladstone, Metro, Clackamas County, Oregon, 97027, United States
GLADSTONE, OR 970271803
Phone: (503) 272-8031
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: 2020-10-06
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 |
|---|---|---|---|---|
| I20201006001922 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 128 | 39 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 68 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 19 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 | $0 |
Insurance plans in this area (ZIP 97027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | WA | |
| - | OR | |
| Clinical Psychologist | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| - | OR |
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