Metamorphosis Mental Health, LLC
NPI 1114849023ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Medford, OR
Nurse Practitioner, Psych/Mental Health in Medford, Oregon, registered in NPPES in July 2026. The authorized official on file is Brittany Wall, PMHNP, Owner.
Overview
| NPI | 1114849023 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2026 |
| Last updated in NPPES | Jul 30, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Psych/Mental Health providers in Medford
- 1508733676
- 1073147716
- 1396520532
- 1114752086
- 1114695962
- 1437002086
- 1376694182
- 1275869661
- 1306274303
- 1205533155
- 1770874836
- 1801479936
All Nurse Practitioner, Psych/Mental Health providers in Oregon →