CARMEN KOSICEK PMHNP-BC
NPI 1255863767
Nurse Practitioner - Psychiatric/Mental Health in Hillsboro, OR

Q: What is Carmen Kosicek's NPI number?

The NPI number for Carmen Kosicek is 1255863767. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Carmen Kosicek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carmen Kosicek was last updated on April 9, 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.

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment

535 SE WASHINGTON ST, HILLSBORO, OR 97123(503) 755-6703(503) 755-6704 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Mar 11, 2025, Apr 11, 2024 and 5 more (8 updates tracked since 2022).

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About Carmen Kosicek Pmhnp-bc NPPES

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

CARMEN KOSICEK PMHNP-BC (NPI 1255863767) is an individual psychiatric/mental health provider in Hillsboro, Oregon, licensed in Oregon (201803795NP-PP) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255863767

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARMEN KOSICEKCredential: PMHNP-BC

Location Address535 SE WASHINGTON STHillsboro, OR 97123-4142

Mailing Address1846 E Innovation Park DrOro Valley, AZ 85755-1963 · (503) 755-6703 · Fax (503) 755-6704

Phone(503) 755-6703

Fax(503) 755-6704

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 3, 2017

Last NPPES UpdateApril 9, 20268 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1255863767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 201803795NP-PP✔ Licensed in AZ · 233893✔ Licensed in IA · G168938✔ Licensed in WI · 7619✔ Licensed in WI · 221711

Also ListedRegistered NurseTaxonomy 163W00000X · License 233893 (AZ), 221711 (WI), 201803794 (OR)

535 SE WASHINGTON ST, Hillsboro, OR 97123

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111740 SW 68th Pkwy Ste 200Portland, OR 97223-9058 · Phone (425) 477-4216

Location 2395 SW Bluff Dr Ste 10Bend, OR 97702-1670 · Phone (503) 755-6703 · Fax (503) 755-6704

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc, Kaiser Permanente and more.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

Carmen Kosicek Pmhnp-bc 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 ID3375800857

PECOS Enrollment IDI20200918000878

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.

Medicare Billing Reassignments

Medicare enrollment records show Carmen Kosicek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcarthur Gruff & Associates LLC

Same address

Psychiatric/Mental Health

535 SE WASHINGTON ST
Hillsboro, OR 97123

Reassigned Medicare billing, Oregon enrollment
33 clinicians in this Medicare group

NPI 1952860066 (503) 755-6703

Mindful Therapy Group PC

161 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Oregon enrollment
234 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97123 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.

MRS. CHRISTINE MARIE DOUGLAS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)