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CARYL LOUISE KENWORTH M.S.N., F.N.P.
NPI 1396757662
Nurse Practitioner - Family in Portland, OR

Active since August 13, 2006PECOS Enrolled
86.03/100
CMS Quality Rating
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 297-6334(503) 297-2360 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caryl Louise Kenworth M.s.n., F.n.p. NPPES

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

CARYL LOUISE KENWORTH M.S.N., F.N.P. (NPI 1396757662) is an individual family provider in Portland, Oregon, licensed in Oregon (093006097N1-FNP-PP) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396757662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARYL LOUISE KENWORTHCredential: M.S.N., F.N.P.
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing Address9340 Sw Barnes Rd, Suite 202Portland, OR 97225-6623 · (503) 297-6334 · Fax (503) 297-2360
Phone(503) 297-6334
Fax(503) 297-2360
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateAugust 25, 2014
✔ NPI 1396757662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 093006097N1-FNP-PP
4805 NE GLISAN ST, Portland, OR 97213
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINS90141OR
Medicare PINR116737OR
Medicaid114970OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caryl Louise Kenworth M.s.n., F.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97213 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

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 Caryl Kenworth's NPI number?

The NPI number for Caryl Kenworth is 1396757662. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Caryl Kenworth located?

Caryl Kenworth practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 297-6334.

What is Caryl Kenworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caryl Kenworth enrolled in Medicare?

Yes. Caryl Kenworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caryl Kenworth was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.