NPIMap

Individual provider Active NPI

Kelsey Leigh Perfect, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1528515475
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA202059 Issued in OR
Practice address
9135 SW Barnes Rd Ste 985
Portland, OR 97225-6699
Phone
(503) 297-3336
Fax
(503) 297-3338
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ
Medical Physician Assistant 363AM0700X AZ
Surgical Physician Assistant 363AS0400X AZ
Physician Assistant 363A00000X PA202059 OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd Ste 985
Portland, OR 97225-6699

Mailing address

9135 SW Barnes Rd Ste 985
Portland, OR 97225-6699
Phone (503) 297-3336

Other practice location 1

929 SW Simpson Ave Ste 220
Bend, OR 97702-3599
Phone (541) 317-5600

Other practice location 2

15600 N Black Canyon Hwy Ste 102
Phoenix, AZ 85053-4055
Phone (623) 748-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000013 OR Practitioner - Physician Assistant 5799061982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Diabetes and EndocrinologyGroup PAC ID 1557358769, 10 clinicians

Practice addresses (Care Compare)

9135 SW Barnes Rd
Suite 985
Portland, OR 97225-6699
Phone (503) 297-3336

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA202059ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Services Northwest, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

929 SW Simpson Ave
Ste 220
Bend, OR 97702
Phone (541) 317-5600

Organizations & group practices 2

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1528515475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 985",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256699",
            "telephone_number": "503-297-3336",
            "fax_number": "503-297-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 985",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256699",
            "telephone_number": "503-297-3336",
            "fax_number": "503-297-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 SW Simpson Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023599",
            "country_code": "US",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15600 N Black Canyon Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850534055",
            "country_code": "US",
            "telephone_number": "623-748-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERFECT",
        "first_name": "KELSEY",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA202059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.