KELLY C YAN PMHNP-BC
NPI 1255965166
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Kelly Yan's NPI number?

The NPI number for Kelly Yan is 1255965166. It was assigned to this individual provider in the NPPES registry on February 29, 2020.

Q: What is Kelly Yan's specialty?

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

Q: Is Kelly Yan enrolled in Medicare?

No. Kelly Yan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Yan was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 February 29, 2020Opted out of Medicare · through Apr 1, 2027

1020 SW TAYLOR ST. SUITE 448, PORTLAND, OR 97205(971) 300-4254(503) 200-1241 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Feb 19, 2021, Jul 20, 2020 and 1 more (4 updates tracked since 2020).

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About Kelly C Yan Pmhnp-bc NPPES

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

KELLY C YAN PMHNP-BC (NPI 1255965166) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202006258NP-PP) and active in the NPI registry since February 2020. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1255965166

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY C YANCredential: PMHNP-BC

Location Address1020 SW TAYLOR ST. SUITE 448Portland, OR 97205-2509

Mailing Address1020 Sw Taylor St. Suite 448Portland, OR 97205-2509 · (971) 300-4254

Phone(971) 300-4254

Fax(503) 200-1241

Sole ProprietorYes

Enumeration DateFebruary 29, 2020

Last NPPES UpdateJune 18, 20254 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1255965166 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

License✔ Licensed in OR · 202006258NP-PP

Also ListedRegistered NurseTaxonomy 163W00000X · License 201809234RN (OR)

1020 SW TAYLOR ST. SUITE 448, Portland, OR 97205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelly C Yan Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kelly Yan's NPI number?

The NPI number for Kelly Yan is 1255965166. It was assigned to this individual provider in the NPPES registry on February 29, 2020.

Where is Kelly Yan located?

Kelly Yan practices at 1020 SW Taylor St. Suite 448, Portland, OR 97205. The listed phone number is (971) 300-4254.

What is Kelly Yan's specialty?

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

Is Kelly Yan enrolled in Medicare?

No. Kelly Yan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Yan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Yan 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 Kelly Yan was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.