Active NPI
Kristen Nicole McCammon, CNM
- Advanced Practice Midwife
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 202009603NP-PP
- Practice address
- 1508 Division St Ste 205
Oregon City, OR 97045-1585 - Phone
- (503) 657-1071
- Fax
- (503) 657-3321
- NPI assigned
- Oct 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R49883 | ND | |
| Advanced Practice Midwife | 367A00000X | 202009603NP-PP | OR | Primary |
Addresses
Primary practice location
1508 Division St Ste 205
Oregon City, OR 97045-1585
Mailing address
7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615
Other practice location 1
2400 32nd Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500806681 | Medicaid | OR |
Other names 1
- Kristen Nicole Ross
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmccammon16869280@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1508 Division St
Suite 205
Oregon City, OR 97045-1585
Phone (503) 657-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R49883 | ND | MD | Advanced Practice Midwife |
| 202009603NP-PP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Healthcare Associates, LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Salem Clinic, PC | Current | Accepting new patients | |
| Women's Healthcare Associates, LLC | Past | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients |
Locations
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
1003 N Providence Dr
Ste 340
Newberg, OR 97132
Phone (503) 538-2698
1508 Division St
Ste 205
Oregon City, OR 97045
Phone (503) 657-1071
7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615
9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700
2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470
Interoperability endpoints
- kmccammon39038@salemclinic.gardenplot.direct-ci.com
- kmccammon883609@direct.lhs.org
- kmccammon16869280@direct.sanfordhealth.org
Organizations & group practices 6
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.
-
- Specialist
- Portland, OR
- NPI 1346296142
-
- General Practice Physician
- Salem, OR
- NPI 1912935594
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- Rural Health Clinic/Center
- Newberg, OR
- NPI 1922987460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1780283572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST STE 205",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451585",
"telephone_number": "503-657-1071",
"fax_number": "503-657-3321"
}
],
"practiceLocations": [
{
"address_1": "2400 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581035800",
"country_code": "US",
"telephone_number": "701-234-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAMMON",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ND",
"license": "R49883",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "202009603NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500806681",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmccammon16869280@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "2400 32nd Ave S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581035800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "ROSS",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.