Individual provider Active NPI

Andrea Kachman, PNP

  • Pediatric Nurse Practitioner
  • Portland, OR
National Provider Identifier
1831887975
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
10013171 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
DC-8S
Portland, OR 97239
Phone
(503) 494-7820
Fax
(503) 494-7829
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201506413RN OR
Pediatric Nurse Practitioner 363LP0200X 10013171 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
DC-8S
Portland, OR 97239

Mailing address

3181 SW Sam Jackson Park Rd
DC-8S
Portland, OR 97239
Phone (503) 494-7820

Other practice location 1

300 N Graham St Ste 250
Portland, OR 97227-1666
Phone (503) 280-3418

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
I20230824000852 OR Practitioner - Nurse Practitioner 8224491279 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201506413RNORMDRegistered Nurse
10013171ORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
University Professional Services CurrentSince Aug 1, 2023 Accepting new patients
University Professional Services Registered Nurse CurrentSince Aug 1, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 11, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 11, 2025 Accepting new patients
University Professional Services Past Accepting new patients
Pediatric Cardiology Center of Oregon PC PastSince Sep 1, 2016 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#8S
Portland, OR 97239
Phone (503) 418-5443

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIEBDD
  • Direct secure messaging: akachman93371@direct.ohsu.edu

Organizations & group practices 8

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1831887975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "DC-8S",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-7820",
            "fax_number": "503-494-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "DC-8S",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-7820",
            "fax_number": "503-494-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Graham St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271666",
            "country_code": "US",
            "telephone_number": "503-280-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACHMAN",
        "first_name": "ANDREA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201506413RN",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10013171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.