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

Q: 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.

Q: What is Kimberlie Dame's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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

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.

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380037

Location1001 Providence DriveNewberg, OR 97132 · Yamhill 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.

MS. KATHLEEN DENISE DRONKOWSKI FNP

Nurse Practitioner (Family)