Active NPI
Kaylee J Hopkins, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10015657
- Practice address
- 1350 NE 122ND Ave
Portland, OR 97230-2011 - Phone
- (503) 408-7010
- Fax
- (503) 408-7035
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10015657 | OR | Primary |
Addresses
Primary practice location
1350 NE 122ND Ave
Portland, OR 97230-2011
Mailing address
1350 NE 122ND Ave
Portland, OR 97230-2011
Phone (503) 408-7010
Other names 1
- Kaylee J Pearson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Oregon Health Sciences University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
107 N Cook St
Apt 431
Portland, OR 97227-2030
PO Box
Los Angeles, CA 90088
Hospital & facility affiliations
- Adventist Health Home Care Services
- Adventist Health Portland
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Walla Walla General Hospital | Past | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
1350 NE 122nd Ave
Ste 100
Portland, OR 97230
Phone (503) 408-7010
1350 NE 122nd Ave
Portland, OR 97230
Phone (503) 408-7008
Interoperability endpoints
- khopkins135829@direct.ohsu.edu
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
- Rural Health Clinic/Center
- Walla Walla, WA
- NPI 1992958771
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
- Home Health Agency
- Portland, OR
- NPI 1629475868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1699373142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302011",
"telephone_number": "503-408-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302011",
"telephone_number": "503-408-7010",
"fax_number": "503-408-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "KAYLEE",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10015657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLEE",
"last_name": "PEARSON",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.