Individual provider Active NPI

Kelcey Chilcott, PNP-BC

  • Pediatric Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1134660558
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201701617NP-PP Issued in OR
Practice address
445 E Main St
Hillsboro, OR 97123-4084
Phone
(503) 640-2757
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 201701617NP-PP OR Primary

Addresses

Primary practice location

445 E Main St
Hillsboro, OR 97123-4084

Mailing address

455 E Main St.
Hillsboro, OR 97123
Phone (503) 640-2757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207002687 OR Practitioner - Nurse Practitioner 6103186374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201701617NP-PPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Pediatric Clinic LLC CurrentSince Jan 22, 2018 Accepting new patients

Locations

445 E Main St
Hillsboro, OR 97123
Phone (503) 640-2757

445 E Main St
Ste 100
Hillsboro, OR 97123
Phone (503) 640-3147

6125 NE Cornell Rd
Ste 240
Hillsboro, OR 97124
Phone (503) 640-2757

Interoperability endpoints

  • Direct secure messaging: kchilcott@hpc.ssdirect.aprima.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1134660558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST.",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97123",
            "telephone_number": "503-640-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234084",
            "telephone_number": "503-640-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILCOTT",
        "first_name": "KELCEY",
        "name_prefix": "Mrs.",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201701617NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.