Active NPI
Susan A Kass, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 092000175N1
- Practice address
- 6736 NE Killingsworth St
Portland, OR 97218-3338 - Phone
- (509) 988-3991
- NPI assigned
- Jun 6, 2006
- 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 | 092000175N1 | OR | Primary |
Addresses
Primary practice location
6736 NE Killingsworth St
Portland, OR 97218-3338
Mailing address
619 NW 6TH Ave FL 5
Portland, OR 97209-3964
Phone (503) 988-3991
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6736 NE Killingsworth
La Clinica de Buena Salvd
Portland, OR 97218-3338
Phone (503) 988-3601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Virginia Garcia Memorial Health Center | Current | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
1151 N Adair St
Cornelius, OR 97113
Phone (503) 352-8552
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
6736 NE Killingsworth St
Portland, OR 97218
Phone (503) 988-3601
619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674
Interoperability endpoints
- skass636866@direct.ochin.org
- susan.kass.1@31880.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1427196500
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
-
- Federally Qualified Health Center (FQHC)
- Beaverton, OR
- NPI 1649772658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1811936362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 NW 6TH AVE FL 5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093964",
"telephone_number": "503-988-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6736 NE KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972183338",
"telephone_number": "509-988-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASS",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "092000175N1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 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.