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DR. KELLIN DAVID KEESEE DC
NPI 1124492210
Chiropractor - Sports Physician in Portland, OR

Active since November 30, 2015
1111 SE STEPHENS ST, PORTLAND, OR 97214(971) 544-7058(971) 244-9058 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, May 9, 2017, Nov 30, 2015 (3 updates tracked since 2015).

About Dr. Kellin David Keesee Dc NPPES

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

DR. KELLIN DAVID KEESEE DC (NPI 1124492210) is an individual sports physician in Portland, Oregon, licensed in Oregon (5692) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1124492210
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. KELLIN DAVID KEESEECredential: DC
Location Address1111 SE STEPHENS STPortland, OR 97214-4748
Mailing Address1111 Se Stephens StPortland, OR 97214-4748 · (971) 544-7058 · Fax (971) 244-9058
Phone(971) 544-7058
Fax(971) 244-9058
Sole ProprietorNo
Enumeration DateNovember 30, 2015
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1124492210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in OR · 5692
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1111 SE STEPHENS ST, Portland, OR 97214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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)

Dr. Kellin David Keesee Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Asula Chiropractic And Wellness Center, Inc.
1.9 mi
Chiropractor
818 NW MARSHALL
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
NPI 1245474956 (503) 719-5335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

SYDNEY NETTLES LMT
Massage Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (971) 544-7058
TIM GALLUCCI DC
Chiropractor
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (971) 544-7058
HAMPTON PHYSIOTHERAPY LLC
Physical Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (503) 461-9664
PREMIER CARE CHIROPRACTIC, LLC
Chiropractor
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (971) 544-7058
ANDRIANNA LAURENT LMT
Massage Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (971) 544-7058
HOPE HAMPTON DPT
Physical Therapist
1111 SE STEPHENS ST
PORTLAND, OR 97214
Multnomah County (503) 461-9664

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 Kellin Keesee's NPI number?

The NPI number for Kellin Keesee is 1124492210. It was assigned to this individual provider in the NPPES registry on November 30, 2015.

Where is Kellin Keesee located?

Kellin Keesee practices at 1111 SE Stephens St, Portland, OR 97214. The listed phone number is (971) 544-7058.

What is Kellin Keesee's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Kellin Keesee enrolled in Medicare?

Yes. Kellin Keesee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellin Keesee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellin Keesee reassigns Medicare benefits to Asula Chiropractic And Wellness Center, Inc. (Portland, 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 Kellin Keesee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellin Keesee accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kellin Keesee 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 Kellin Keesee was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.