Individual provider Active NPI

Kathryn Jean Beane, PA-C, RD

  • Physician Assistant
  • Oregon City, OR
National Provider Identifier
1093238909
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA227661 Issued in OR
Practice address
1500 Division St Ste 220
Oregon City, OR 97045-1527
Phone
(503) 513-1900
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA59588 CA
Registered Dietitian 133V00000X 1072873 CA
Physician Assistant 363A00000X PA227661 OR Primary

Addresses

Primary practice location

1500 Division St Ste 220
Oregon City, OR 97045-1527

Mailing address

1500 Division St Ste 220
Oregon City, OR 97045-1527

Other practice location 1

1411 E 31st St
Oakland, CA 94602-1018
Phone (510) 535-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210811001103 CA Practitioner - Physician Assistant 6406250539 Reassigns benefits to 1 organization
I20260302001063 OR Practitioner - Physician Assistant 6406250539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

1500 Division St
Suite 220
Oregon City, OR 97045-1527
Phone (503) 513-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59588CAMDGeneral Practice Dentistry
1072873CAMDRegistered Dietitian
PA227661ORMDPhysician Assistant
PA59588CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 6, 2026 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 6, 2026 Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

1500 Division St
Ste 220
Oregon City, OR 97045
Phone (503) 216-6407

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kbeane130240@alamedahs.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1093238909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DIVISION ST STE 220",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIVISION ST STE 220",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451527",
            "telephone_number": "503-513-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021018",
            "country_code": "US",
            "telephone_number": "510-535-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEANE",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "credential": "PA-C, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA59588",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1072873",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA227661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.