1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile

KIMBERLIE ANNE DAME AGPCNP
NPI 1366134843
Nurse Practitioner - Gerontology in Portland, OR

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment
9135 SW BARNES RD STE 261, PORTLAND, OR 97225(503) 216-6300 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, May 26, 2023 (2 updates tracked since 2023).

About Kimberlie Anne Dame Agpcnp NPPES

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

KIMBERLIE ANNE DAME AGPCNP (NPI 1366134843) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (10008811) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366134843
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIMBERLIE ANNE DAMECredential: AGPCNP
Location Address9135 SW BARNES RD STE 261Portland, OR 97225-6784
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2023
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1366134843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 10008811
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 10008811 (OR)
9135 SW BARNES RD STE 261, Portland, OR 97225
Open in Google Maps ↗

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

Kimberlie Anne Dame Agpcnp 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 ID9931562873
PECOS Enrollment IDI20230825000809
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

5

Medicare enrollment records show Kimberlie Dame reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Obstetrics & Gynecology
9135 SW BARNES RD STE 761
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1154427821 (503) 216-2602
Providence Health & Services - Oregon
0.1 mi
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1235259532 (503) 216-2229
Providence Health & Services - Oregon
7.7 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Providence Hood River Memorial Hospital
55 mi
Urgent Care
14040 HIGHWAY 35
Mt Hood, OR 97041
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Providence Health & Services Oregon
  • 267 clinicians in this Medicare group
NPI 1437355955 (503) 337-2292
Providence Health & Services Oregon
64 mi
Rural Health
171 N LARCH ST STE 16
Cannon Beach, OR 97110
  • Reassigned Medicare billing, Oregon enrollment
  • 301 clinicians in this Medicare group
NPI 1841756764 (503) 717-7400

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services77 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

STEPHANIE KURZENHAUSER MSW, LCSW
Social Worker (Clinical)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
ZHENG ZHU TOPP M.D.
Internal Medicine (Medical Oncology)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
DR. NATASHA CATHERINE EDWIN M.D.
Internal Medicine
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
STACY K LEWIS MD
Internal Medicine (Medical Oncology)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
MS. KATHLEEN DENISE DRONKOWSKI FNP
Nurse Practitioner (Family)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
DANA ELIZABETH-SELWITZ ZACKS LCSW, MPH
Social Worker (Clinical)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 215-6029
EVTHOKIA ARLINE HOBBS M.D.
Internal Medicine (Medical Oncology)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300
JESSICA N JAMES FNP
Nurse Practitioner (Family)
9135 SW BARNES RD STE 261
PORTLAND, OR 97225
Washington County (503) 216-6300

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 Kimberlie Dame's NPI number?

The NPI number for Kimberlie Dame is 1366134843. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Kimberlie Dame located?

Kimberlie Dame practices at 9135 SW Barnes Rd Ste 261, Portland, OR 97225. The listed phone number is (503) 216-6300.

What is Kimberlie Dame's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimberlie Dame enrolled in Medicare?

Yes. Kimberlie Dame 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.

Which organizations bill Medicare for Kimberlie Dame's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlie Dame reassigns Medicare benefits to 5 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Hood River Memorial Hospital (Mt Hood, OR) and Providence Health & Services Oregon (Cannon Beach, OR). Each 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 Kimberlie Dame's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberlie Dame affiliated with any hospitals?

According to CMS data, Kimberlie Dame is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Kimberlie Dame was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.