1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Physician Assistant
  6. NPI Profile

CAROLYN KYLE NIXON
NPI 1023249125
Physician Assistant - Medical in Portland, OR

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD., PORTLAND, OR 97239(503) 494-7551 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2021, May 6, 2020, Dec 14, 2017 (3 updates tracked since 2017).

About Carolyn Kyle Nixon NPPES

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

CAROLYN KYLE NIXON (NPI 1023249125) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA170105) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Oregon Health Sciences University School Of Medicine (2011).

NPPES Registry Identity

NPI1023249125
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAROLYN KYLE NIXON
Location Address3181 SW SAM JACKSON PARK RD.Portland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd., Mail Code Sjh-2Portland, OR 97239-3011 · (503) 494-7551 · Fax (503) 494-4997
Phone(503) 494-7551
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2011
Enumeration DateAugust 6, 2009
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1023249125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA170105
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA170105 (OR)
3181 SW SAM JACKSON PARK RD., Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Former Name (1)Carolyn Kyle Sidles

Other Identifiers 1

Medicaid500679615OR

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

Carolyn Kyle Nixon 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 ID1254506181
PECOS Enrollment IDI20141229001325
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Other Providers at the Same Location NPPES 16

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

PETER STANLEY JONES M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7551
DR. KENNETH RICHARDS STEVENS JR. M.D.
Radiology (Radiation Oncology)
3181 SW SAM JACKSON PARK RD., KPV4, RADIATION MEDICINE
PORTLAND, OR 97239
Multnomah County (503) 494-8756
DR. CASSANDRA ROSE ROBERTSON-BINKLEY
Pharmacist (Pharmacotherapy)
3181 SW SAM JACKSON PARK RD., MAIL CODE CR 9-4
PORTLAND, OR 97239
Multnomah County (503) 418-8536
LINDA ANNE BRYANS CCC-SLP
Speech-Language Pathologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-2421
IDA SHEEVAUN KHAKI MD
Pediatrics
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Multnomah County (503) 494-8211
ALEXANDER C. AUL DNP, CRNA
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641
DR. RAPHAEL MICAH BYRNE M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. EUGENE LLOYD HIEBERT MD
Anesthesiology (Pain Medicine)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641

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 Carolyn Nixon's NPI number?

The NPI number for Carolyn Nixon is 1023249125. It was assigned to this individual provider in the NPPES registry on August 6, 2009. The provider is also known as Carolyn Kyle Sidles.

Where is Carolyn Nixon located?

Carolyn Nixon practices at 3181 SW Sam Jackson Park Rd., Portland, OR 97239. The listed phone number is (503) 494-7551.

What is Carolyn Nixon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carolyn Nixon enrolled in Medicare?

Yes. Carolyn Nixon 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 Carolyn Nixon affiliated with any hospitals?

According to CMS data, Carolyn Nixon is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Carolyn Nixon was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.