Active NPI
Kirsten Lynne Roberts, F.N.P.
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 094006664N1
- Practice address
- 5050 NE Hoyt St Ste 117
Portland, OR 97213 - Phone
- (503) 215-1874
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Portland, OR
- NPI 1003319724
-
- Internal Medicine Physician
- Portland, OR
- NPI 1164623401
-
- Pediatrics Physician
- Longview, WA
- NPI 1104097906
-
- State or Local Public Health Clinic/Center
- Portland, OR
- NPI 1275702201
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Portland, OR
- NPI 1407109937
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Rural Health Clinic/Center
- Seaside, OR
- NPI 1649344458
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
Hospital & facility affiliations
- Providence Portland Medical Center
- Bay Area Hospital
- Providence Willamette Falls Medical Center
- Providence Hood River Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000652 | OR | Practitioner - Nurse Practitioner | 8224097571 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094006664N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
4805 NE Glisan St
Ste 3E14
Portland, OR 97213
5050 NE Hoyt St
Ste 117
Portland, OR 97213
Phone (503) 215-1874
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- kroberts1030677@oc.providencedirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 094006664N1 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5050 NE Hoyt St Ste 117
Portland, OR 97213
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
421 SW Oak St.
#210
Portland, OR 97204
Phone (503) 988-7468
Other practice location 2
421 SW Oak St.
#210
Portland, OR 97204
Phone (503) 988-7468
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228493 | Medicaid | OR |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kroberts1030677@oc.providencedirect.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2020.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1003864596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 117",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97213",
"telephone_number": "503-215-1874"
}
],
"practiceLocations": [
{
"address_1": "421 SW Oak St.",
"address_2": "#210",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97204",
"country_code": "US",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 SW Oak St.",
"address_2": "#210",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97204",
"country_code": "US",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "KIRSTEN",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "094006664N1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228493",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kroberts1030677@oc.providencedirect.org",
"affiliation": "N",
"address_1": "5050 NE Hoyt St Ste 117",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "97213",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.