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KELSEY JORDAN ST. AMAND PA-C, MPH
NPI 1013581222
Physician Assistant - Surgical in Portland, OR

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD # L353, PORTLAND, OR 97239(503) 494-4190(503) 494-7829 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 9, 2024, Nov 15, 2022, Jul 18, 2022 and 2 more (5 updates tracked since 2021).

About Kelsey Jordan St. Amand Pa-c, Mph NPPES

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

KELSEY JORDAN ST. AMAND PA-C, MPH (NPI 1013581222) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA211583) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2022).

NPPES Registry Identity

NPI1013581222
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELSEY JORDAN ST. AMANDCredential: PA-C, MPH
Location Address3181 SW SAM JACKSON PARK RD # L353Portland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park Rd # L353Portland, OR 97239-3098 · (661) 678-3778
Phone(503) 494-4190
Fax(503) 494-7829
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2022
Enumeration DateMay 13, 2021
Last NPPES UpdateFebruary 9, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1013581222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA211583
3181 SW SAM JACKSON PARK RD # L353, Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey Jordan De Lemos Pa

Other Identifiers 1

Medicaid500809282OR

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

Kelsey Jordan St. Amand Pa-c, Mph 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 ID4688057953
PECOS Enrollment IDI20220818003136
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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 Kelsey St. Amand's NPI number?

The NPI number for Kelsey St. Amand is 1013581222. It was assigned to this individual provider in the NPPES registry on May 13, 2021. The provider is also known as Kelsey Jordan De Lemos PA.

Where is Kelsey St. Amand located?

Kelsey St. Amand practices at 3181 SW Sam Jackson Park Rd # L353, Portland, OR 97239. The listed phone number is (503) 494-4190.

What is Kelsey St. Amand's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelsey St. Amand enrolled in Medicare?

Yes. Kelsey St. Amand 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.

Is Kelsey St. Amand affiliated with any hospitals?

According to CMS data, Kelsey St. Amand is affiliated with Ohsu Hospital And Clinics and Salem Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey St. Amand was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.