MRS. KENDRA D MESA PA
NPI 1164830212
Physician Assistant - Medical in Portland, OR

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD # ED, PORTLAND, OR 97239(503) 494-7551(503) 494-4997 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2022, Jun 6, 2017, Jan 19, 2016 (3 updates tracked since 2016).

About Mrs. Kendra D Mesa Pa NPPES

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

MRS. KENDRA D MESA PA (NPI 1164830212) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA209206) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164830212
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KENDRA D MESACredential: PA
Location Address3181 SW SAM JACKSON PARK RD # EDPortland, OR 97239-3011
Mailing Address60 S 11th CtRidgefield, WA 98642-9386 · (239) 218-6724
Fax(503) 494-4997
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 31, 2014
Last NPPES UpdateApril 26, 20223 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1164830212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA209206
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60493784 (WA)
3181 SW SAM JACKSON PARK RD # ED, Portland, OR 97239

Other Names 1

Former Name (1)Mrs. Kendra D Preilipper Pa

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

Mrs. Kendra D Mesa 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 ID6800016700
PECOS Enrollment IDI20220712003119
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 2

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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 Kendra Mesa's NPI number?

The NPI number for Kendra Mesa is 1164830212. It was assigned to this individual provider in the NPPES registry on July 31, 2014. The provider is also known as Mrs. Kendra D Preilipper PA.

Where is Kendra Mesa located?

Kendra Mesa practices at 3181 SW Sam Jackson Park Rd # Ed, Portland, OR 97239. The listed phone number is (503) 494-7551.

What is Kendra Mesa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kendra Mesa enrolled in Medicare?

Yes. Kendra Mesa 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.

Is Kendra Mesa affiliated with any hospitals?

According to CMS data, Kendra Mesa is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kendra Mesa was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.