KEMBLE GREEN NP
NPI 1205292703
Nurse Practitioner - Gerontology in Clackamas, OR
About Kemble Green Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEMBLE GREEN NP (NPI 1205292703) is an individual gerontology provider in Clackamas, Oregon, licensed in Oregon (201600268NP-PP) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eugene, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kemble Green Np 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kemble Green reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97008
- Reassigned Medicare billing, Oregon enrollment
- 84 clinicians in this Medicare group
Springfield, OR 97477
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Bristol Advanced Illness Management - Oregon LLC
- 14 clinicians in this Medicare group
Springfield, OR 97477
- Reassigned Medicare billing, Oregon enrollment
- 412 clinicians in this Medicare group
Springfield, OR 97477
- Reassigned Medicare billing, Oregon enrollment
- 278 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, California, New Mexico, Oregon, Texas and Washington enrollments
- 20 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Kemble Green's NPI number?
The NPI number for Kemble Green is 1205292703. It was assigned to this individual provider in the NPPES registry on January 13, 2016.
Where is Kemble Green located?
Kemble Green practices at 10365 SE Sunnyside Rd Ste 340, Clackamas, OR 97015. The listed phone number is (541) 579-2800.
What is Kemble Green's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kemble Green enrolled in Medicare?
Yes. Kemble Green 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.
Which organizations bill Medicare for Kemble Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kemble Green reassigns Medicare benefits to 6 organizations: Crm Physicians, LLC (Beaverton, OR), Bristol Advanced Illness Management - Oregon, L.L.C. (Springfield, OR), Peacehealth Medical Group (Springfield, OR), Peacehealth (Springfield, OR), Daiya Healthcare PLLC (Bellevue, WA) and 1 more organization, listed in the Medicare section above. 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 Kemble Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kemble Green accept?
Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and PacificSource Health Plans and 3 other insurers list Kemble Green 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 Kemble Green was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kemble Green, NP · NPI 1205292703
Gerontology physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since January 13, 2016.
## Identity
- **NPI:** 1205292703 (Entity type: Individual)
- **Enumerated:** January 13, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 201600268NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10365 SE SUNNYSIDE RD STE 340, Clackamas, OR 97015-5751
- **Phone:** (541) 579-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Crm Physicians, LLC (NPI 1952674996, Beaverton, OR); Bristol Advanced Illness Management - Oregon, L.L.C. (NPI 1083364749, Springfield, OR); Peacehealth Medical Group (NPI 1881860856, Springfield, OR); Peacehealth (NPI 1740223874, Springfield, OR); Daiya Healthcare PLLC (NPI 1477027381, Bellevue, WA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205292703) · Data from the CMS NPPES public registry.