MS. KIM ALIX LE BIAVANT NP-C, WHNP-BC
NPI 1225292410
Nurse Practitioner - Adult Health in Portland, OR

Q: What is Kim Le Biavant's NPI number?

The NPI number for Kim Le Biavant is 1225292410. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Kim Le Biavant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kim Le Biavant was last updated on August 23, 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.

Active since July 16, 2008PECOS Enrolled

5100 S MACADAM AVE STE 200, PORTLAND, OR 97239(971) 202-5500 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 23, 2021, Aug 19, 2021, Aug 6, 2021 (3 updates tracked since 2021).

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About Ms. Kim Alix Le Biavant Np-c, Whnp-bc NPPES

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

MS. KIM ALIX LE BIAVANT NP-C, WHNP-BC (NPI 1225292410) is an individual adult health provider in Portland, Oregon, licensed in Oregon (202003013NP-PP) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marin City.

NPPES Registry Identity

NPI1225292410

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. KIM ALIX LE BIAVANTCredential: NP-C, WHNP-BC

Location Address5100 S MACADAM AVE STE 200Portland, OR 97239-3827

Mailing Address5100 S Macadam Ave Ste 200Portland, OR 97239-3827 · (971) 202-5500 · Fax (712) 025-5559

Phone(971) 202-5500

Sole ProprietorNo

Enumeration DateJuly 16, 2008

Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration

NPPES CertifiedAugust 23, 2021

✔ NPI 1225292410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OR · 202003013NP-PP

Also ListedNurse PractitionerTaxonomy 363L00000X · License NP18110 (CA)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License NP18110 (CA)

5100 S MACADAM AVE STE 200, Portland, OR 97239

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Secondary Practice Location 1

Location 1630 Drake AveMarin City, CA 94965-1107 · Phone (415) 339-8813 · Fax (415) 339-8814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kim Alix Le Biavant Np-c, Whnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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 20

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

KATHERINE FELICIA EDSTROM AGNP-C

Nurse Practitioner (Gerontology)