MARY KUEBRICH AGPCNP
NPI 1477902617
Nurse Practitioner - Primary Care in Tigard, OR

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
12442 SW SCHOLLS FERRY RD, TIGARD, OR 97223(503) 216-9200 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 19, 2021, Jan 16, 2019 (2 updates tracked since 2019).

About Mary Kuebrich Agpcnp NPPES

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

MARY KUEBRICH AGPCNP (NPI 1477902617) is an individual primary care provider in Tigard, Oregon, licensed in Oregon (201604516NP-PP) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477902617
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY KUEBRICHCredential: AGPCNP
Location Address12442 SW SCHOLLS FERRY RDTigard, OR 97223-3396
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1477902617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OR · 201604516NP-PP
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 201604516NP-PP (OR)
12442 SW SCHOLLS FERRY RD, Tigard, OR 97223

Other Identifiers 1

Medicaid500709519OR

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

Mary Kuebrich 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 ID5890089635
PECOS Enrollment IDI20160802002300
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 6

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.
142 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 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.
21 services18 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223

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 Mary Kuebrich's NPI number?

The NPI number for Mary Kuebrich is 1477902617. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Mary Kuebrich located?

Mary Kuebrich practices at 12442 SW Scholls Ferry Rd, Tigard, OR 97223. The listed phone number is (503) 216-9200.

What is Mary Kuebrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Kuebrich enrolled in Medicare?

Yes. Mary Kuebrich 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.

Is Mary Kuebrich affiliated with any hospitals?

According to CMS data, Mary Kuebrich is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Kuebrich was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.