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KIRSTIE LAUREN WILSON-PANUM M.D.
NPI 1386910818
Obstetrics & Gynecology in Portland, OR

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
501 N GRAHAM ST STE 550, PORTLAND, OR 97227(503) 284-5220(503) 284-4971 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Nov 21, 2023, Nov 24, 2021 and 1 more (4 updates tracked since 2017).

About Kirstie Lauren Wilson-panum M.d. NPPES

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

KIRSTIE LAUREN WILSON-PANUM M.D. (NPI 1386910818) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD171212) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2008).

NPPES Registry Identity

NPI1386910818
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIRSTIE LAUREN WILSON-PANUMCredential: M.D.
Location Address501 N GRAHAM ST STE 550Portland, OR 97227-2010
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 284-5220
Fax(503) 284-4971
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2008
Enumeration DateMarch 29, 2012
Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1386910818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · MD171212✔ Licensed in NY · 264220-1
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
501 N GRAHAM ST STE 550, Portland, OR 97227
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Other Identifiers 2

Medicaid500690961OR
Medicaid2047045WA

Accepted Insurance

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

Kirstie Lauren Wilson-panum M.d. 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 ID2769630011
PECOS Enrollment IDI20150903002766
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 14

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

ERIKA GENE COPPERMAN DO
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
HANNAH LEE BACHELLER MD, MS
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
PHILIPPA JOHANNA ANTOINETTE RIBBINK MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
ERICA MARIE MAGELKY MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
LARA JEANNETTE WILLIAMS M.D.
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
KIMBERLY ANN SURIANO MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
KIMBERLY NICOLE GUADALUPE CNM
Advanced Practice Midwife
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
COURTNEY BROOKE JACKSON N.D.
Naturopath
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220

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 Kirstie Wilson-panum's NPI number?

The NPI number for Kirstie Wilson-panum is 1386910818. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Kirstie Wilson-panum located?

Kirstie Wilson-panum practices at 501 N Graham St Ste 550, Portland, OR 97227. The listed phone number is (503) 284-5220.

What is Kirstie Wilson-panum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kirstie Wilson-panum enrolled in Medicare?

Yes. Kirstie Wilson-panum 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.

What insurance does Kirstie Wilson-panum accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kirstie Wilson-panum 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 Kirstie Wilson-panum was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.