Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Ellis, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750706800

Susan Ellis, PMHNP is a Nurse Practitioner in Roseburg, Oregon. Graduated from University of Arizona College of Medicine in 2016, 10 years ago. Practices with Adapt, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Trained at
University of Arizona College of Medicine
Licensed in
OR
In the registry since
2014
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 492-4550
Fax: (541) 492-4556
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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 202114835NP-PP (OR)

Record details

NPI number1750706800
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedFebruary 26, 2014
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Adapt — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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