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KATIE O'HANLON DNP, CNM
NPI 1114515566
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since December 31, 2020PECOS EnrolledAccepts Medicare Assignment
3530 SE 88TH AVE, PORTLAND, OR 97266(503) 772-4335(503) 772-4337 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Dec 31, 2020 (2 updates tracked since 2020).

About Katie O'hanlon Dnp, Cnm NPPES

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

KATIE O'HANLON DNP, CNM (NPI 1114515566) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202005237NP-PP) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114515566
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE O'HANLONCredential: DNP, CNM
Location Address3530 SE 88TH AVEPortland, OR 97266-2396
Mailing Address3530 Se 88th AvePortland, OR 97266-2396 · (503) 772-4335 · Fax (503) 772-4337
Phone(503) 772-4335
Fax(503) 772-4337
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 31, 2020
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1114515566 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
License✔ Licensed in OR · 202005237NP-PP
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 202005237NP-PP (OR)
3530 SE 88TH AVE, Portland, OR 97266
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Katie O'hanlon Dnp, Cnm 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 ID6002264272
PECOS Enrollment IDI20231128003271
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 97266 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.

EILEEN ALICE DERR
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (509) 225-3396
DR. DALENA MAI THI HUONG HA HA DMD, MS, MPH
Dentist
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
CELIA LANCASTER CNP
Nurse Practitioner
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
ASHLEY AMEY
Physician Assistant
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
BRYLIE MANNEN RDN
Dietitian, Registered
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
LEANN BROWN RDN, LD
Dietitian, Registered
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
GABRIELLA CRYSTAL HERNANDEZ CHW
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
MRS. SULEIDI YOSELIN GONZALEZ GONZALEZ CHW
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335

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 Katie O'hanlon's NPI number?

The NPI number for Katie O'hanlon is 1114515566. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Katie O'hanlon located?

Katie O'hanlon practices at 3530 SE 88th Ave, Portland, OR 97266. The listed phone number is (503) 772-4335.

What is Katie O'hanlon's specialty?

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

Is Katie O'hanlon enrolled in Medicare?

Yes. Katie O'hanlon 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 Katie O'hanlon accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Katie O'hanlon 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 Katie O'hanlon was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.