Melissa Jean Kidby, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201800978NP-PP Issued in OR

Practice address

12999 S Macdonalds PL
Oregon City, OR 97045-7529

Phone

(541) 295-5172

Fax

(971) 362-4818

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellness Bound Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oregon City, OR
  • NPI 1235721085
  Medicare reassignment NPD Authorized official
• Harlan Medical Services LLC

  • Health Information Specialist/Technologist
  • Warrenton, OR
  • NPI 1659126274
  NPD
• Shannon McGrath, LCSW, LLC

  • Adult Mental Health Clinic/Center
  • Eugene, OR
  • NPI 1710619994
  NPD (past)

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1124427950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971460159",
            "telephone_number": "971-368-1980",
            "fax_number": "541-550-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12999 S MACDONALDS PL",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457529",
            "telephone_number": "541-295-5172",
            "fax_number": "971-362-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NE 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846937",
            "country_code": "US",
            "telephone_number": "541-295-5172",
            "fax_number": "866-868-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDBY",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201800978NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201404684RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124427950",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Oliver Kerr
• Taylor Jane Kerr, OD
• Stacey Kesner, MOT, OTR/L
• Noor A Khaki, DMD
• Maaz A Khan, MD
• Ashley Kidd
• Trista Kildow, PSS/THW/CRM
• Jason Kim, D.D.S
• Sean S Kim, D.M.D
• Jennifer King, MD

• Psychiatric/Mental Health Nurse Practitioner in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.

Verify at the official NPI Registry.