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MS. KELLY JO MEDEIROS-WHEELER LCSW
NPI 1508166919
Social Worker - Clinical in Sherwood, OR

Active since November 01, 2010PECOS Enrolled
21887 SW SHERWOOD BLVD STE C, SHERWOOD, OR 97140(503) 966-4154(503) 506-0628 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Mar 25, 2026, Mar 29, 2016 and 1 more (4 updates tracked since 2015).

About Ms. Kelly Jo Medeiros-wheeler Lcsw NPPES

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

MS. KELLY JO MEDEIROS-WHEELER LCSW (NPI 1508166919) is an individual clinical provider in Sherwood, Oregon, licensed in Oregon (L4416) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508166919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY JO MEDEIROS-WHEELERCredential: LCSW
Location Address21887 SW SHERWOOD BLVD STE CSherwood, OR 97140-9459
Mailing Address21370 Sw Langer Farms Pkwy Ste 142, Pmb-414Sherwood, OR 97140 · (503) 966-4154 · Fax (503) 506-0628
Phone(503) 966-4154
Fax(503) 506-0628
Sole ProprietorYes
Enumeration DateNovember 1, 2010
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1508166919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L4416
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
21887 SW SHERWOOD BLVD STE C, Sherwood, OR 97140
Open in Google Maps ↗

Other Identifiers 1

Medicaid500658417OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Jo Medeiros-wheeler Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Medeiros-wheeler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Garcia Memorial Health Center
6.9 mi
Federally Qualified Health Center (FQHC)
2251 E HANCOCK ST
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 111 clinicians in this Medicare group
NPI 1245661636 (971) 281-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97140 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
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 7

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

TYCIE LEEANN MONSON MS
Marriage & Family Therapist
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (503) 610-3251
DEBORAH A MARINOS
Counselor (Professional)
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (503) 871-5299
ADAPTABILITY FOR LIFE LLC
Clinic/Center (Adult Mental Health)
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (503) 871-5299
ARIANNE COHEN COZI
Counselor (Mental Health)
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (646) 722-0772
DR. MICHAEL WAYNE JOHNSON M.D.
Internal Medicine
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (503) 625-7474
JAMIE HOOVER
Counselor (Mental Health)
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (971) 770-0744
ASHLEY GARCIA MA, LMFT
Marriage & Family Therapist
21887 SW SHERWOOD BLVD STE C
SHERWOOD, OR 97140
Washington County (503) 847-9728

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 Medeiros-wheeler's NPI number?

The NPI number for Kelly Medeiros-wheeler is 1508166919. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Where is Kelly Medeiros-wheeler located?

Kelly Medeiros-wheeler practices at 21887 SW Sherwood Blvd Ste C, Sherwood, OR 97140. The listed phone number is (503) 966-4154.

What is Kelly Medeiros-wheeler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Medeiros-wheeler enrolled in Medicare?

Yes. Kelly Medeiros-wheeler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Medeiros-wheeler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Medeiros-wheeler reassigns Medicare benefits to Virginia Garcia Memorial Health Center (Newberg, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Medeiros-wheeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Medeiros-wheeler accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kelly Medeiros-wheeler 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 Medeiros-wheeler was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.