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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTA FUQUA PMHNP
NPI 1013347582
Nurse Practitioner - Psychiatric/Mental Health in Gresham, OR

Active since November 20, 2013PECOS Enrolled
2072 NE BURNSIDE RD, GRESHAM, OR 97030(971) 436-2560 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Aug 12, 2021 (2 updates tracked since 2021).

About Krista Fuqua Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA FUQUA PMHNP (NPI 1013347582) is an individual psychiatric/mental health provider in Gresham, Oregon, licensed in Oregon (201606762NP-PP) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013347582
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTA FUQUACredential: PMHNP
Location Address2072 NE BURNSIDE RDGresham, OR 97030-7950
Mailing Address2072 Ne Burnside RdGresham, OR 97030-7950 · (971) 436-2560
Phone(971) 436-2560
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 20, 2013
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1013347582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201606762NP-PP
2072 NE BURNSIDE RD, Gresham, OR 97030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krista Fuqua Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729201462
PECOS Enrollment IDI20161102000197
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON RAMOS
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
LUJEIN SOLAIMAN ALKREIDI
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 232-2252
DEJA KITCHINER
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
SAMANA SAMI BEIDOUN
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
TETYANA ZELYANOVSKA
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
BRANDI NICHOLE MCPHERSON
Peer Specialist
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 231-7480
LIZAVETA DARASHKEVICH
Peer Specialist
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 231-7480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Fuqua's NPI number?

The NPI number for Krista Fuqua is 1013347582. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Krista Fuqua located?

Krista Fuqua practices at 2072 NE Burnside Rd, Gresham, OR 97030. The listed phone number is (971) 436-2560.

What is Krista Fuqua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Krista Fuqua enrolled in Medicare?

Yes. Krista Fuqua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Krista Fuqua accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Krista Fuqua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krista Fuqua was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.