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KRISTEN FERNANDEZ-KONG PMHNP-BC
NPI 1144714858
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since June 16, 2018PECOS Enrolled
555 SE MARTIN LUTHER KING JR BLVD STE 105, PORTLAND, OR 97214(971) 266-0177(855) 631-0578 Get Directions Write a Review

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

Record update history: Mar 12, 2026, Sep 30, 2020, Feb 25, 2020 and 2 more (5 updates tracked since 2018).

About Kristen Fernandez-kong Pmhnp-bc NPPES

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

KRISTEN FERNANDEZ-KONG PMHNP-BC (NPI 1144714858) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202001075NP-PP) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144714858
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTEN FERNANDEZ-KONGCredential: PMHNP-BC
Location Address555 SE MARTIN LUTHER KING JR BLVD STE 105Portland, OR 97214-2595
Mailing Address2130 Nw Front Ave Apt 306Portland, OR 97209-1874 · (971) 266-0177 · Fax (855) 631-0578
Phone(971) 266-0177
Fax(855) 631-0578
Sole ProprietorNo
Enumeration DateJune 16, 2018
Last NPPES UpdateJune 11, 20265 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1144714858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 202001075NP-PP
555 SE MARTIN LUTHER KING JR BLVD STE 105, Portland, OR 97214
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Fernandez-kong Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristen Fernandez-kong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Psychological And Counseling Services LLC
119 mi
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group
NPI 1912008178 (253) 752-7320
Mindful Therapy Group PC
159 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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

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
$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

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

CARECONNECTMD OREGON PROFESSIONAL CORPORATION
General Practice
555 SE MARTIN LUTHER KING JR BLVD STE 105
PORTLAND, OR 97214
Multnomah County (888) 789-9585

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 Kristen Fernandez-kong's NPI number?

The NPI number for Kristen Fernandez-kong is 1144714858. It was assigned to this individual provider in the NPPES registry on June 16, 2018.

Where is Kristen Fernandez-kong located?

Kristen Fernandez-kong practices at 555 SE Martin Luther King Jr Blvd Ste 105, Portland, OR 97214. The listed phone number is (971) 266-0177.

What is Kristen Fernandez-kong's specialty?

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

Is Kristen Fernandez-kong enrolled in Medicare?

Yes. Kristen Fernandez-kong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Fernandez-kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Fernandez-kong reassigns Medicare benefits to 2 organizations: Western Psychological And Counseling Services LLC (Tacoma, WA) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Kristen Fernandez-kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Fernandez-kong accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kristen Fernandez-kong 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 Kristen Fernandez-kong was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.