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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.

KIM A WENNHOLD MD
NPI 1053331926
Psychiatry & Neurology - Child & Adolescent Psychiatry in Milwaukie, OR

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
6605 SE LAKE RD, MILWAUKIE, OR 97222(503) 655-8401(503) 655-8429 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim A Wennhold Md NPPES

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

KIM A WENNHOLD MD (NPI 1053331926) is an individual child & adolescent psychiatry provider in Milwaukie, Oregon, licensed in Oregon (MD21250) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1996).

NPPES Registry Identity

NPI1053331926
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKIM A WENNHOLDCredential: MD
Location Address6605 SE LAKE RDMilwaukie, OR 97222-2161
Mailing Address2051 Kaen Rd, Suite 367Oregon City, OR 97045-4035 · (503) 742-5300 · Fax (503) 655-8250
Phone(503) 655-8401
Fax(503) 655-8429
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1996
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1053331926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OR · MD21250
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6605 SE LAKE RD, Milwaukie, OR 97222
Open in Google Maps ↗

Other Identifiers 1

Medicaid286446OR

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

Kim A Wennhold Md 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 ID7810042447
PECOS Enrollment IDI20090903000659
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 Kim Wennhold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Clackamas Office Of County Auditor
Same address
Mental Health (Including Community Mental Health Center)
6605 SE LAKE ROAD
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 130 clinicians in this Medicare group
NPI 1245269315 (503) 655-8401

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

Other Providers at the Same Location NPPES 20

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

EMILY MARIE KETOLA LCSW
Social Worker (Clinical)
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8401
CLAIRE WHITT
Case Manager/Care Coordinator
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8471
REBEKAH POTTS
Social Worker (Clinical)
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8401
SUZANNE LAPIDUS
Counselor (Mental Health)
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8401
MARA CHAVEZ VILLA QMHA
Case Manager/Care Coordinator
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8264
HEATHER MARTINEZ CSWA
Counselor (Mental Health)
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8471
WESLEY MCCOURTIE
Case Manager/Care Coordinator
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8471
COLEBY RICHARD VILLASENOR
Case Manager/Care Coordinator
6605 SE LAKE RD
MILWAUKIE, OR 97222
Clackamas County (503) 655-8471

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 Kim Wennhold's NPI number?

The NPI number for Kim Wennhold is 1053331926. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kim Wennhold located?

Kim Wennhold practices at 6605 SE Lake Rd, Milwaukie, OR 97222. The listed phone number is (503) 655-8401.

What is Kim Wennhold's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kim Wennhold enrolled in Medicare?

Yes. Kim Wennhold 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 Kim Wennhold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Wennhold reassigns Medicare benefits to County Of Clackamas Office Of County Auditor (Milwaukie, 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 Kim Wennhold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Wennhold accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kim Wennhold 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 Kim Wennhold was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.