KAREN G HEDDEN PMHNP
NPI 1255308383
Nurse Practitioner - Psychiatric/Mental Health in Sandy, OR

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
39740 PLEASANT ST, SANDY, OR 97055(503) 722-6950(503) 722-6939 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen G Hedden Pmhnp NPPES

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

KAREN G HEDDEN PMHNP (NPI 1255308383) is an individual psychiatric/mental health provider in Sandy, Oregon, licensed in Oregon (085075594N6) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1255308383
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN G HEDDENCredential: PMHNP
Location Address39740 PLEASANT STSandy, OR 97055-6412
Mailing Address2051 Kaen Rd, Suite 398Oregon City, OR 97045-4088 · (503) 742-5300 · Fax (503) 742-5301
Fax(503) 722-6939
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1255308383 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 · 085075594N6
39740 PLEASANT ST, Sandy, OR 97055

Other Identifiers 1

Medicaid69646OR

Accepted Insurance

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

Karen G Hedden Pmhnp 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 ID8729033188
PECOS Enrollment IDI20050317001068
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 97055 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.

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
14%37 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%42 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%274 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%69 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
8%65 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
36%22 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 20% · 56 patients
27%56 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Case Manager/Care Coordinator
39740 PLEASANT ST
SANDY, OR 97055
Clinic/Center (Federally Qualified Health Center (FQHC))
39740 PLEASANT ST
SANDY, OR 97055
Case Manager/Care Coordinator
39740 PLEASANT ST
SANDY, OR 97055
Nurse Practitioner (Psychiatric/Mental Health)
39740 PLEASANT ST
SANDY, OR 97055
Counselor (Mental Health)
39740 PLEASANT ST
SANDY, OR 97055
Clinic/Center (Federally Qualified Health Center (FQHC))
39740 PLEASANT ST
SANDY, OR 97055
Counselor
39740 PLEASANT ST
SANDY, OR 97055
Case Manager/Care Coordinator
39740 PLEASANT ST
SANDY, OR 97055

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 Karen Hedden's NPI number?

The NPI number for Karen Hedden is 1255308383. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Karen Hedden located?

Karen Hedden practices at 39740 Pleasant St, Sandy, OR 97055. The listed phone number is (503) 722-6950.

What is Karen Hedden's specialty?

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

Is Karen Hedden enrolled in Medicare?

Yes. Karen Hedden 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.

What insurance does Karen Hedden accept?

Health plans from Providence Health Plan and Regence BlueCross BlueShield of Oregon list Karen Hedden 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 Karen Hedden was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.