KELSEY NOLAN
NPI 1053939207
Psychologist - Clinical in Portland, OR

Q: What is Kelsey Nolan's NPI number?

The NPI number for Kelsey Nolan is 1053939207. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Q: What is Kelsey Nolan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Nolan was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 13, 2020PECOS Enrolled

1500 NE IRVING ST STE 440, PORTLAND, OR 97232(541) 517-9733 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Sep 18, 2025, Feb 16, 2023 and 4 more (7 updates tracked since 2020).

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About Kelsey Nolan NPPES

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

KELSEY NOLAN (NPI 1053939207) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3550) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053939207

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELSEY NOLAN

Location Address1500 NE IRVING ST STE 440Portland, OR 97232-4208

Mailing Address1551 Pearl StEugene, OR 97401-4010 · (541) 517-9733 · Fax (888) 971-3877

Phone(541) 517-9733

Sole ProprietorNo

Enumeration DateJuly 13, 2020

Last NPPES UpdateNovember 14, 20257 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1053939207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3550

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1500 NE IRVING ST STE 440, Portland, OR 97232

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Other Identifiers 1

Medicaid500782475OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Nolan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97232 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

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

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 20

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

LOVEMINDA LAROCO

Counselor (Mental Health)