ALISSE DIERS, DNP

Psychiatric/Mental Health Nurse Practitioner · COOS BAY, OR

Individual Active NPI 1922607936

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	32	144	$29,920	$12,003	$8,630

Taxonomy & licensure

Specialty	Code	Primary	License	State
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	✓	202108253NP-PP	OR
Family Nurse Practitioner	363LF0000X		202105516NP-PP	OR

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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CARRIE KRALICEK, PMHNP-BC
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COASTAL ROOTS PSYCHIATRY, LLC
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NPI 1417785569
HOPE MENTAL WELLNESS
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NPI 1083321400

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.