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KELSEY NOLAN
NPI 1053939207
Psychologist - Clinical in Portland, OR

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Vista Counseling & Consultation, Inc.
105 mi
Community/Behavioral Health
1551 PEARL ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 54 clinicians in this Medicare group
NPI 1275864985 (541) 517-9733

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 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)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
JULIA LEGGETT
Counselor (Mental Health)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
JULIA ROSE STROEMEL MA
Counselor (Mental Health)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
COLLEEN TURNER
Social Worker (Clinical)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
MS. ELIZABETH PETERSON
Social Worker (Clinical)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
LAUREN WEPPRICH MSW
Social Worker (Clinical)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
CLAIRE PERUSSE
Counselor (Mental Health)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733
ANNA MALLEA
Counselor (Mental Health)
1500 NE IRVING ST STE 440
PORTLAND, OR 97232
Multnomah County (541) 517-9733

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 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.

Where is Kelsey Nolan located?

Kelsey Nolan practices at 1500 NE Irving St Ste 440, Portland, OR 97232. The listed phone number is (541) 517-9733.

What is Kelsey Nolan's specialty?

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

Is Kelsey Nolan enrolled in Medicare?

Yes. Kelsey Nolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Nolan reassigns Medicare benefits to Vista Counseling & Consultation, Inc. (Eugene, 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 Kelsey Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Nolan accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kelsey Nolan 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 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 11 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.