Individual provider Active NPI

Katy Jane Kovari, ARNP

  • Nurse Practitioner
  • Wilsonville, OR
National Provider Identifier
1417555871
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202204181NP-PP Issued in OR
Practice address
10868 SW Stockholm Dr
Wilsonville, OR 97070-7292
Phone
(503) 399-2444
Fax
(503) 388-3427
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202204181NP-PP OR Primary
Nurse Practitioner 363L00000X AP61063870 WA

Addresses

Primary practice location

10868 SW Stockholm Dr
Wilsonville, OR 97070-7292

Mailing address

10868 SW Stockholm Dr
Wilsonville, OR 97070-7292
Phone (503) 399-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, NV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210630002157 WA Practitioner - Nurse Practitioner 4486055241 Reassigns benefits to 1 organization
I20220714002051 OR Practitioner - Nurse Practitioner 4486055241 Reassigns benefits to 1 organization
I20260421003279 NV Practitioner - Nurse Practitioner 4486055241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

32275 32ND Ave S
Federal Way, WA 98001-9616
Phone (720) 703-5293

6902 SE Lake Rd
Suite 100
Milwaukie, OR 97267-2148
Phone (503) 774-3350

861 Coronado Ctr Dr
Suite 212
Henderson, NV 89052-3992
Phone (303) 405-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202204181NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Jun 14, 2024 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

861 Coronado Center Dr
Ste 212
Henderson, NV 89052
Phone (303) 405-2100

6902 SE Lake Rd
Ste 100
Portland, OR 97267
Phone (503) 774-3350

32275 32nd Ave S
Federal Way, WA 98001
Phone (206) 420-5325

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1417555871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10868 SW STOCKHOLM DR",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707292",
            "telephone_number": "503-399-2444",
            "fax_number": "503-388-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10868 SW STOCKHOLM DR",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707292",
            "telephone_number": "503-399-2444",
            "fax_number": "503-388-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVARI",
        "first_name": "KATY",
        "middle_name": "JANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202204181NP-PP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61063870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.