Individual provider Active NPI

Kimberly D Delaney, MN, PSYD

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1720280571
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
093000164N6 PMHNP-PP Issued in OR
Practice address
255 SW Bluff Dr Ste 220
Bend, OR 97702-3220
Phone
(541) 382-3002
Fax
(888) 972-6509
NPI assigned
Jun 4, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 093000164N6 PMHNP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 794 HI
Psychologist 103T00000X 2164 OR
Psychiatric/Mental Health Registered Nurse 163WP0808X 093000164RN OR
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 56321 HI

Addresses

Primary practice location

255 SW Bluff Dr Ste 220
Bend, OR 97702-3220

Mailing address

255 SW Bluff Dr Ste 220
Bend, OR 97702-3220
Phone (541) 382-3002

Other names 1

  • Dr. Kimberly D Delaney Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101119000704 OR Practitioner - Nurse Practitioner 6507934775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

255 SW Bluff Dr
Suite 220
Bend, OR 97702-3220
Phone (541) 382-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2164ORMDPsychologist
093000164RNORMDPsychiatric/Mental Health Registered Nurse
093000164N6 PMHNP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly D Delaney, Aprn, PSYD, LLC Psychiatric/Mental Health CurrentSince Apr 5, 2018 Accepting new patients

Locations

255 SW Bluff Dr
Ste 220
Bend, OR 97702
Phone (541) 382-3002

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1720280571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SW BLUFF DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023220",
            "telephone_number": "541-382-3002",
            "fax_number": "888-972-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SW BLUFF DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023220",
            "telephone_number": "541-382-3002",
            "fax_number": "888-972-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MN, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-09-12",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "093000164N6 PMHNP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "794",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2164",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "093000164RN",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "56321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DELANEY",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MN, PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.