Individual provider Active NPI

Katherine Mayers, NP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1821584889
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201904558NP-PP Issued in OR
Practice address
6350 NE Halsey St
Portland, OR 97213-4720
Phone
(503) 215-2669
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 201904558NP-PP OR Primary

Addresses

Primary practice location

6350 NE Halsey St
Portland, OR 97213-4720

Mailing address

6350 NE Halsey St
Portland, OR 97213-4720
Phone (503) 215-2669

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmayers535626@oc.providencedirect.org

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
I20190715001059 OR Practitioner - Nurse Practitioner 4789919622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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
Providence Health and Services OregonGroup PAC ID 6305755000, 18 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

4805 NE Glisan St
Portland, OR 97213-2933

6350 NE Halsey St
Portland, OR 97213-4720
Phone (503) 215-0750

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201904558NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services-Oregon CurrentSince Jul 1, 2021 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

11995 SE Sunnyside Rd
Happy Valley, OR 97015
Phone (503) 653-1526

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

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

1840 E Portland Rd
Newberg, OR 97132
Phone (503) 538-9360

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

6410 NE Halsey St
Portland, OR 97213
Phone (503) 215-2273

1235 NE 47th Ave
Ste 148
Portland, OR 97213
Phone (503) 215-4601

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

6350 NE Halsey St
Portland, OR 97213
Phone (503) 215-0750

4400 NE Halsey St
#2
Portland, OR 97213
Phone (503) 893-6472

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

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

1905 SE 164th Ave
Vancouver, WA 98683
Phone (360) 836-3396

Interoperability endpoints

  • Direct secure messaging: kmayers535626@oc.providencedirect.org

Organizations & group practices 10

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 5

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1821584889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134720",
            "telephone_number": "503-215-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134720",
            "telephone_number": "503-215-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201904558NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmayers535626@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4400 NE Halsey St Bldg 2",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972131545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.