Kathleen Patricia Kerwan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200950047NP Issued in OR

Practice address

7150 SW Hampton St Ste 200
Tigard, OR 97223-8378

Phone

(503) 482-4600

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Patricia Maynez Former name

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dispatchhealth-Oregon PCGroup PAC ID 9133458243, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.kerwan.1@13869.direct.athenahealth.com

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.

• Dispatchhealth-Oregon PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1649822990
  Medicare reassignment Care Compare group NPD
• CRM Physicians, LLC

  dba Ascent Healthcare

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  Family

  Medicare reassignment NPD
• Sinuclear Oregon PC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1851152730
  Medicare reassignment NPD
• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment NPD
• RWC Rcare Columbia River, LLC

  dba Regencare Wound Care Providers, CLR

  • Otolaryngology Physician
  • Vancouver, WA
  • NPI 1184428781
  Medicare reassignment NPD
• Sinuclear Washington PC

  • Otolaryngology Physician
  • Spokane, WA
  • NPI 1386400463
  Medicare reassignment NPD
• Goldmark Wound Specialty Group Deschutes, LLC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1356166482
  NPD
• Goldmark Wound Specialty Group Mpo, LLC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1568287688
  NPD
• Tenderly Hospice, LLC

  • Community Based Hospice Care Agency
  • Tigard, OR
  • NPI 1649826702
  NPD
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381
  NPD
• Clackamas County

  dba Sunnyside Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Clackamas, OR
  • NPI 1891042487
  NPD (past)
• County of Clackamas Office of County Auditor

  dba Hilltop Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukie, OR
  • NPI 1245269315
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1902835838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 SW MEADOWBROOK DR APT 5",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243349",
            "telephone_number": "503-780-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238378",
            "telephone_number": "503-482-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWAN",
        "first_name": "KATHLEEN",
        "middle_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200950047NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MAYNEZ",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnny Keridwen
• Maura Kern Payne
• Dawn Julayne Kerns, LMT
• Kerri Smith, DMD, LLC (Tualatin Valley Dental)
• R. G. Evan Colbie Kerschner
• Leila Khodor
• Firas George Khoury, MD
• Jamie Kidd
• Tina Kieu, DO
• David Alexander Killeen

• Family Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.

Verify at the official NPI Registry.