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KACY L HERBST PMHNP-BC
NPI 1053106039
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since April 11, 2025PECOS EnrolledAccepts Medicare Assignment
1410 NE 106TH AVE, PORTLAND, OR 97220(503) 460-0405(503) 460-0434 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kacy L Herbst Pmhnp-bc NPPES

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

KACY L HERBST PMHNP-BC (NPI 1053106039) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10043172) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053106039
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKACY L HERBSTCredential: PMHNP-BC
Location Address1410 NE 106TH AVEPortland, OR 97220-3934
Mailing Address1410 Ne 106th AvePortland, OR 97220-3934 · (503) 460-0405
Phone(503) 460-0405
Fax(503) 460-0434
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 11, 2025
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1053106039 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 · 10043172
1410 NE 106TH AVE, Portland, OR 97220
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kacy L Herbst Pmhnp-bc 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 ID648796664
PECOS Enrollment IDI20250501003236
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.

Medicare Billing Reassignment

Medicare enrollment records show Kacy Herbst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bridge City Family Medical Clinic, PC
Same address
Multi-Specialty
1410 NE 106TH AVE
Portland, OR 97220
  • Reassigned Medicare billing, Oregon enrollment
  • 14 clinicians in this Medicare group
NPI 1548330715 (503) 460-0405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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 13

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

ANGELINA M POLITO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
BRITNEY HERMAN NP-C WHNP-BC
Nurse Practitioner
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
CHELSEA MARIE JOHNSON
Nurse Practitioner (Primary Care)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
THERESA BUNKER FNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
DR. BRITTANY LYN KOLLURU N.D.
Naturopath
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
JANE LOUISE IRVIN DECKER FNP-C
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
BRIDGE CITY FAMILY MEDICAL CLINIC, PC
Clinic/Center (Multi-Specialty)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405
DEBRA ANNE SHANNON ARNP
Nurse Practitioner (Family)
1410 NE 106TH AVE
PORTLAND, OR 97220
Multnomah County (503) 460-0405

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 Kacy Herbst's NPI number?

The NPI number for Kacy Herbst is 1053106039. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Kacy Herbst located?

Kacy Herbst practices at 1410 NE 106th Ave, Portland, OR 97220. The listed phone number is (503) 460-0405.

What is Kacy Herbst's specialty?

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

Is Kacy Herbst enrolled in Medicare?

Yes. Kacy Herbst 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.

Which organization bills Medicare for Kacy Herbst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacy Herbst reassigns Medicare benefits to Bridge City Family Medical Clinic, PC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kacy Herbst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kacy Herbst accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kacy Herbst 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 Kacy Herbst was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.