Individual provider Active NPI

Kristen Nicole McCammon, CNM

  • Advanced Practice Midwife
  • Oregon City, OR
National Provider Identifier
1780283572
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
202009603NP-PP Issued in OR
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

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500806681MedicaidOR

Other names 1

  • Kristen Nicole Ross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmccammon16869280@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210225001303 ND Practitioner - Certified Nurse Midwife (CNM) 1759796733 Reassigns benefits to 1 organization
I20220425000992 OR Practitioner - Certified Nurse Midwife (CNM) 1759796733 Reassigns benefits to 2 organizations

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
Womens Healthcare Associates LLCGroup PAC ID 8527054014, 103 clinicians

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

LicenseStateTypeSpecialty
R49883NDMDAdvanced Practice Midwife
202009603NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare Associates, LLC CurrentSince Jun 13, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 11, 2021 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 11, 2021 Accepting new patients
Salem Clinic, PC CurrentSince Jul 1, 2024 Accepting new patients
Women's Healthcare Associates, LLC PastSince Sep 3, 2025 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

  • Direct secure messaging: kmccammon39038@salemclinic.gardenplot.direct-ci.com
  • Direct secure messaging: kmccammon883609@direct.lhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.