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WELLNESS BOUND MENTAL HEALTH LLC
NPI 1235721085
Nurse Practitioner - Psychiatric/Mental Health in Oregon City, OR

Active since February 03, 2021
12999 S MACDONALDS PL, OREGON CITY, OR 97045(541) 295-5172(971) 362-4818 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, May 8, 2025, Jul 9, 2024 and 8 more (11 updates tracked since 2021).

About Wellness Bound Mental Health Llc NPPES

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

WELLNESS BOUND MENTAL HEALTH LLC (NPI 1235721085) is a healthcare organization registered as a psychiatric/mental health in Oregon City, Oregon and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Vancouver and lists Melissa Jean Kidby, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1235721085
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESS BOUND MENTAL HEALTH LLC
Location Address12999 S MACDONALDS PLOregon City, OR 97045-7529
Mailing AddressPo Box 159Warrenton, OR 97146-0159 · (971) 368-1980 · Fax (541) 550-2908
Phone(541) 295-5172
Fax(971) 362-4818
Organization SubpartNo
Authorized OfficialMelissa Jean KidbyOwner/provider · (541) 295-5172
Enumeration DateFebruary 3, 2021
Last NPPES UpdateApril 10, 202611 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1235721085 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
12999 S MACDONALDS PL, Oregon City, OR 97045
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 NE 136th AveVancouver, WA 98684-6937 · Phone (541) 295-5172 · Fax (866) 868-4840

Other Identifiers 8

Other1124427950OR · Individual Npi
Medicaid500788714OR
Medicaid1902441959OR
Other1902441959OR · Individual Npi
Medicaid500832993OR
Other1235721085OR · Facility Npi
Medicaid2357805WA
Medicaid500704924OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Bound Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness Bound Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Kidby, NP
Nurse Practitioner
NPI 1124427950
12999 S MACDONALDS PL
Oregon City, OR 97045
(541) 295-5172
✔ PECOS✔ Accepts MedicareSame address

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

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 Wellness Bound Mental Health LLC's NPI number?

The NPI number for Wellness Bound Mental Health LLC is 1235721085. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Wellness Bound Mental Health LLC located?

Wellness Bound Mental Health LLC is located at 12999 S Macdonalds Pl, Oregon City, OR 97045. The listed phone number is (541) 295-5172.

What is Wellness Bound Mental Health LLC's specialty?

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

Is Wellness Bound Mental Health LLC enrolled in Medicare?

Yes. Wellness Bound Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Bound Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellness Bound Mental Health LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wellness Bound Mental Health LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Wellness Bound Mental Health LLC 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 Wellness Bound Mental Health LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.