ANDREA WITHAM, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · ROSEBURG, OR
Individual Active Opted out of Medicare NPI 1275982324
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 15 | 205 | $35,650 | $14,240 | $10,864 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ✓ | 202201834NP | OR |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202201834NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP9762 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Opted out of Medicare (Nurse Practitioner), effective 2026-04-01 through 2028-04-01.
Other Psychiatric/Mental Health Nurse Practitioner providers in Oregon
- NPI 1144867698
- NPI 1912721903
- NPI 1629178835
- NPI 1881197804
- NPI 1215244793
- NPI 1174925978
- NPI 1730298977
- NPI 1689010597
See all Psychiatric/Mental Health Nurse Practitioner providers in Oregon →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.