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MRS. CAROLINE KEZIAH THIONGO
NPI 1063287837
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment
12360 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 303-4000(503) 344-4412 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Aug 19, 2024, Nov 21, 2023 (3 updates tracked since 2023).

About Mrs. Caroline Keziah Thiongo NPPES

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

MRS. CAROLINE KEZIAH THIONGO (NPI 1063287837) is an individual psychiatric/mental health provider in Clackamas, Oregon, licensed in Oregon (10021621) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tempe, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063287837
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CAROLINE KEZIAH THIONGO
Location Address12360 SE SUNNYSIDE RDClackamas, OR 97015-9320
Mailing Address21155 E Duncan StQueen Creek, AZ 85142-6763 · (972) 302-1431
Phone(503) 303-4000
Fax(503) 344-4412
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1063287837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10021621✔ Licensed in WA · AP61645300
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 298740 (AZ)
12360 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Location 1

Location 1412 E Southern AveTempe, AZ 85282-5212 · Phone (972) 302-1431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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

Mrs. Caroline Keziah Thiongo 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 ID5193264893
PECOS Enrollment IDI20240826003654
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 97015 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 20

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

CLAIRISA A PRETTYMAN CMA
Technician
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MELISSA SUZANNE VALENZUELA
Counselor (Addiction (Substance Use Disorder))
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MICHELLE LYNN KERRON
Counselor (Addiction (Substance Use Disorder))
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
CASCADIA HEALTH
Clinic/Center (Primary Care)
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MR. MOSES J. GALLEGOS DO
Family Medicine
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-4988
MS. PATRICIA E. GALLEGOS DO
Family Medicine
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-4988
LISA CHARLENE DAVIS
Case Manager/Care Coordinator
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MR. BARRY N. DAVIS DO
Family Medicine
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-4988

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 Caroline Thiongo's NPI number?

The NPI number for Caroline Thiongo is 1063287837. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Caroline Thiongo located?

Caroline Thiongo practices at 12360 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 303-4000.

What is Caroline Thiongo's specialty?

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

Is Caroline Thiongo enrolled in Medicare?

Yes. Caroline Thiongo 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.

What insurance does Caroline Thiongo accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Caroline Thiongo 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 Caroline Thiongo was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.