KIMBERLEY J. SCOTT PA
NPI 1386613883
Physician Assistant - Medical in Portland, OR

Q: What is Kimberley Scott's NPI number?

The NPI number for Kimberley Scott is 1386613883. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Kimberley Scott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberley Scott was last updated on December 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment

9701 SW BARNES RD STE 300, PORTLAND, OR 97225(503) 297-8081(503) 292-6601 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2024, Apr 2, 2024, Nov 22, 2021 and 3 more (6 updates tracked since 2016).

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About Kimberley J. Scott Pa NPPES

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

KIMBERLEY J. SCOTT PA (NPI 1386613883) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA204268) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of South Alabama College Of Medicine (1998).

NPPES Registry Identity

NPI1386613883

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIMBERLEY J. SCOTTCredential: PA

Location Address9701 SW BARNES RD STE 300Portland, OR 97225-6689

Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825

Phone(503) 297-8081

Fax(503) 292-6601

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1998

Enumeration DateMarch 16, 2006

Last NPPES UpdateDecember 18, 20246 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1386613883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in OR · PA204268✔ Licensed in AZ · 6382

Also ListedPhysician AssistantTaxonomy 363A00000X

9701 SW BARNES RD STE 300, Portland, OR 97225

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Other Identifiers 5

Medicaid8450082WA

Other8941182WA · Crime Victims

Other0207736WA · Labor & Ind

Medicaid500604767OR

OtherP00336906Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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

Kimberley J. Scott Pa 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 ID5799795787

PECOS Enrollment IDI20210519003008

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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 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.

34 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

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.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR

OwnershipProprietary

CMS Certification Number381320

Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County

Emergency services Birthing friendly

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.

DEVAN ROMANS ARNP, CRNA

Nurse Anesthetist, Certified Registered