KYLINE NICOLE FARWELL PA
NPI 1093340515
Physician Assistant in Portland, OR

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 626, PORTLAND, OR 97213(503) 917-3950 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Kyline Nicole Farwell Pa NPPES

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

KYLINE NICOLE FARWELL PA (NPI 1093340515) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA201995) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and maintains a secondary practice location in Mccall.

NPPES Registry Identity

NPI1093340515
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLINE NICOLE FARWELLCredential: PA
Location Address5050 NE HOYT ST STE 626Portland, OR 97213-2956
Mailing Address6015 N Interstate Ave Apt 441Portland, OR 97217-4792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 4, 2020
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
NPI 1093340515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA201995
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5050 NE HOYT ST STE 626, Portland, OR 97213

Other Names 1

Other Name (5)Kylie Nicole Farwell Pa

Secondary Practice Location 1

Location 1200 Forest StMcCall, ID 83638-5256 · Phone (208) 401-8325

Accepted 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

Kyline Nicole Farwell Pa 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 ID9032521554
PECOS Enrollment IDI20201207002098
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
34%123 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
76%21 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%21 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
67%21 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 34 patients
0%34 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Orthopaedic Surgery (Foot and Ankle Surgery)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Specialist/Technologist (Athletic Trainer)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Physician Assistant
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Clinic/Center
5050 NE HOYT ST STE 626
PORTLAND, OR 97213

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 Kyline Farwell's NPI number?

The NPI number for Kyline Farwell is 1093340515. It was assigned to this individual provider in the NPPES registry on March 4, 2020. The provider is also known as Kylie Nicole Farwell PA.

Where is Kyline Farwell located?

Kyline Farwell practices at 5050 NE Hoyt St Ste 626, Portland, OR 97213. The listed phone number is (503) 917-3950.

What is Kyline Farwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyline Farwell enrolled in Medicare?

Yes. Kyline Farwell 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 Kyline Farwell accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kyline Farwell 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.

Is Kyline Farwell affiliated with any hospitals?

According to CMS data, Kyline Farwell is affiliated with Legacy Mount Hood Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Kyline Farwell was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.