MR. SCHUYLER BLAKE ELLIS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1538709738
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,307 NURSE PRACTITIONER in WA
Provider Addresses for MR. SCHUYLER BLAKE ELLIS (PMHNP-BC)
5512 NE 109TH CT STE I
VANCOUVER, WA 986626175
Phone: (360) 200-5273
Fax: (833) 593-8274
Type: Location
5621 SE 65TH AVE
PORTLAND, OR 972065426
Phone: (785) 817-5968
Type: Mailing
308 NW 11TH AVE FL 2
PORTLAND, OR 972092980
Phone: (503) 379-1902
Fax: (503) 217-2023
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Corium, LLC ($220).
Total Amount
$743
General + Research + Ownership
Payments
21
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $220 |
| ABBVIE INC. | $160 |
| Janssen Pharmaceuticals, Inc | $150 |
| Vanda Pharmaceuticals Inc. | $122 |
| Neurocrine BioSciences Inc. | $26 |
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: 2021-04-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20210420001116 | 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 | 45 | 11 | $0 |
Insurance plans in this area (ZIP 98662)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | NY | |
| - | OR | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR |
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