Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Amy Patricia Theall, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912461088

Amy Patricia Theall, PMHNP-BC is a Nurse Practitioner in Lakeview, Oregon. Qualified in 2021, 5 years ago. Practices with Lake Health District, a 55-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2019
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

700 S J St
Lakeview, OR 97630-1623
Phone: (541) 947-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2020167949 (OR)

Record details

NPI number1912461088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 23, 2019
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lake Health District — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Lake Health District

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 55 clinicians in the practice; 12 are shown here.