Kelly Kathleen Wolfe Fromuth, AGPCNP-PP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

201501921NP-PP Issued in OR

Practice address

5100 SW Macadam Ave
#200
Portland, OR 97239-6102

Phone

(971) 202-5500

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Housecall Providers PCGroup PAC ID 7113297789, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Connected Home Health Home health agency, Clackamas, OR, CCN 387146
• Providence Home Health Home health agency, Portland, OR, CCN 387048
• Providence Hospice Hospice, Portland, OR, CCN 381500

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellyfromuth@hpi.allscriptsdirect.net

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.

• Housecall Providers, PC

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1396274817
  Medicare reassignment Care Compare group NPD

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

• Connected Healthcare, Inc.

  • Home Health Agency
  • Clackamas, OR
  • NPI 1063780492
  Care Compare affiliation
• Providence Health & Services Oregon

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1205924313
  Care Compare affiliation
• Providence Health & Services Oregon

  • Home Health Agency
  • Portland, OR
  • NPI 1790873461
  Care Compare affiliation

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1689052201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SW MACADAM AVE",
            "address_2": "#200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396102",
            "telephone_number": "971-202-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMUTH",
        "first_name": "KELLY",
        "middle_name": "KATHLEEN WOLFE",
        "credential": "AGPCNP-PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201501921NP-PP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "201501921NP-PP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201501921NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Frohlick
• Kenneth Eugene Frohning, RPH
• James Vaughn Frohnmayer, DMD
• Shura Alexey Frolov, LMT
• Skye Frome, FNP
• Amber Fromwiller, CRNA
• Elizabeth Frost-Williams, PMHNP-BC
• Brian Frost, M.S., CCC-SLP
• Hazel Frost, LMT
• Michelle Lee Frost

• Primary Care Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.