KRISTY REGAN
NPI 1124779442
Social Worker - Clinical in Portland, OR

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
2901 E BURNSIDE ST, PORTLAND, OR 97214(503) 953-0310 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jan 18, 2022 (2 updates tracked since 2022).

About Kristy Regan NPPES

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

KRISTY REGAN (NPI 1124779442) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L16422) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124779442
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTY REGAN
Location Address2901 E BURNSIDE STPortland, OR 97214-1831
Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 18, 2022
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1124779442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L16422
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedNutritionistTaxonomy 133N00000X
2901 E BURNSIDE ST, Portland, OR 97214

Secondary Practice Location 1

Location 12130 SW Jefferson St Ste 200Portland, OR 97201-7710 · Phone (971) 266-6910

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

Kristy Regan 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 ID2769901560
PECOS Enrollment IDI20250523002625
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 97214 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
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.

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.

Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Social Worker (Clinical)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Professional)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Professional)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Peer Specialist
2901 E BURNSIDE ST
PORTLAND, OR 97214
Counselor (Mental Health)
2901 E BURNSIDE ST
PORTLAND, OR 97214

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 Kristy Regan's NPI number?

The NPI number for Kristy Regan is 1124779442. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Kristy Regan located?

Kristy Regan practices at 2901 E Burnside St, Portland, OR 97214. The listed phone number is (503) 953-0310.

What is Kristy Regan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristy Regan enrolled in Medicare?

Yes. Kristy Regan 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 Kristy Regan accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kristy Regan 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 Kristy Regan was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.