Active NPI
Kimberlee Ann Fielder, PA-C
- Physician Assistant
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA160106
- Practice address
- 6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487 - Phone
- (503) 430-1777
- Fax
- (503) 430-1777
- NPI assigned
- Oct 12, 2011
- Last updated
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA160106 | OR | Primary |
Addresses
Primary practice location
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Mailing address
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Phone (503) 430-1777
Other practice location 1
450 N Graham St
Portland, OR 97227-1682
Phone (503) 413-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 W 42ND St
Scottsbluff, NE 69361-4669
Phone (308) 635-1717
650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588
6800 SW 105TH Ave
Beaverton, OR 97008-5487
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slocum Orthopedics, PC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Slocum Orthopedics, PC | Surgical | Current | Accepting new patients |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Arizona Heart Specialists PLLC | Past | Accepting new patients |
Locations
55 Coburg Rd
Eugene, OR 97401
Phone (541) 485-8111
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2222 NW Lovejoy St
Ste 411
Portland, OR 97210
Phone (503) 413-5702
450 N Graham St
Portland, OR 97227
Phone (503) 413-4161
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Springfield, OR
- NPI 1386146405
-
- Cardiovascular Disease Physician
- Lakeside, AZ
- NPI 1750513438
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsbluff, NE
- NPI 1639101199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1396020186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777",
"fax_number": "503-430-1777"
}
],
"practiceLocations": [
{
"address_1": "450 N Graham St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271682",
"country_code": "US",
"telephone_number": "503-413-4488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDER",
"first_name": "KIMBERLEE",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA160106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.