Individual provider Active NPI

Kirsten R. Johansson, NP, FNP

  • Family Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1780025890
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201350125NP Issued in OR
Practice address
1000 N Providence Dr Ste 310
Newberg, OR 97132-7582
Phone
(503) 537-6040
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201350125NP OR Primary

Addresses

Primary practice location

1000 N Providence Dr Ste 310
Newberg, OR 97132-7582

Mailing address

1000 N Providence Dr Ste 310
Newberg, OR 97132-7582

Other practice location 1

3181 SW Sam Jackson Park Rd
Mail code 5170/L603
Portland, OR 97239-3011
Phone (503) 524-0332

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
I20130923000104 OR Practitioner - Nurse Practitioner 9032353636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Hpa Medical Management LLCGroup PAC ID 3274877105, 16 clinicians

Practice addresses (Care Compare)

1000 N Providence Dr
Suite 310
Newberg, OR 97132-7582
Phone (503) 537-6040

11481 SW Hall Blvd
Suite 200
Tigard, OR 97223-8403
Phone (503) 980-4334

Hospital & facility affiliations

  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Hpa Medical Management, LLC CurrentSince Aug 12, 2024 Accepting new patients
Hpa Medical Management, LLC CurrentSince Aug 12, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 27, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 27, 2025 Accepting new patients

Locations

1000 N Providence Dr
Ste 310
Newberg, OR 97132
Phone (503) 537-6040

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

11481 SW Hall Blvd
Ste 200
Tigard, OR 97223
Phone (503) 639-0600

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: kjohansson4090542@oc.providencedirect.org

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1780025890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N PROVIDENCE DR STE 310",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PROVIDENCE DR STE 310",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327582",
            "telephone_number": "503-537-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "Mail code 5170/L603",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-524-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "KIRSTEN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "NP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350125NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.