DR. KELLY WITBECK DNP, ARNP
NPI 1366812380
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since October 02, 2015
833 SW 11TH AVE STE 915, PORTLAND, OR 97205(971) 366-2315(360) 245-9181 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2026, May 18, 2023, Dec 21, 2020 and 3 more (6 updates tracked since 2015).

About Dr. Kelly Witbeck Dnp, Arnp NPPES

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

DR. KELLY WITBECK DNP, ARNP (NPI 1366812380) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201507845NP-PP) and active in the NPI registry since October 2015. She maintains a secondary practice location in Ridgefield.

NPPES Registry Identity

NPI1366812380
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. KELLY WITBECKCredential: DNP, ARNP
Location Address833 SW 11TH AVE STE 915Portland, OR 97205-2123
Mailing Address833 Sw 11th Ave Ste 915Portland, OR 97205-2123 · (971) 366-2315
Fax(360) 245-9181
Sole ProprietorYes
Enumeration DateOctober 2, 2015
Last NPPES UpdateMay 27, 20266 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1366812380 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 · 201507845NP-PP Licensed in MT · NUR-APRN-LIC-170570 Licensed in FL · 9277250 Licensed in AK · 167743 Licensed in WA · AP60787605
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 167743 (AK), 9277250 (FL), NUR-APRN-LIC-170570 (MT), 201507845NP-PP (OR), AP60787605 (WA)
833 SW 11TH AVE STE 915, Portland, OR 97205

Secondary Practice Location 1

Location 1101 Mill St Ste 200Ridgefield, WA 98642-4529 · Phone (360) 615-2780 · Fax (360) 245-9181

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
833 SW 11TH AVE STE 915
PORTLAND, OR 97205
Nurse Practitioner (Psychiatric/Mental Health)
833 SW 11TH AVE STE 915
PORTLAND, OR 97205

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 Witbeck's NPI number?

The NPI number for Kelly Witbeck is 1366812380. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Where is Kelly Witbeck located?

Kelly Witbeck practices at 833 SW 11th Ave Ste 915, Portland, OR 97205. The listed phone number is (971) 366-2315.

What is Kelly Witbeck's specialty?

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

What insurance does Kelly Witbeck accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Witbeck 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 Witbeck was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.