KIMBERLY K RODDA FNP-BC
NPI 1528054384
Nurse Practitioner - Family in Happy Valley, OR

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
79.06/100
CMS Quality Rating
16180 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97015(503) 582-4900 Get Directions Write a Review

NPPES record last updated: October 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly K Rodda Fnp-bc NPPES

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

KIMBERLY K RODDA FNP-BC (NPI 1528054384) is an individual family provider in Happy Valley, Oregon, licensed in Oregon (200550088NP FNPPP) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Providence Seaside Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528054384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY K RODDACredential: FNP-BC
Location Address16180 SE SUNNYSIDE RD, SUITE 102Happy Valley, OR 97015-6301
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 26, 2005
Last NPPES UpdateOctober 28, 2012
NPI 1528054384 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 · 200550088NP FNPPP
16180 SE SUNNYSIDE RD, Happy Valley, OR 97015

Other Identifiers 8

Medicare PINR152864OR
OtherP00881768OR · Rr Medicare
Medicare PINR152863OR
Medicare PINR152860OR
Medicare PINR152861OR
Medicaid278678OR
Medicare PINR152858OR
Medicare PINR152859OR

Accepted 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

Kimberly K Rodda Fnp-bc 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 ID7618070707
PECOS Enrollment IDI20070309000398
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.

Hospital Affiliations CMS Care Compare

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

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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.

79.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.9
Promoting Interoperability100
Improvement Activities40
Cost42.85

Other Providers at the Same Location NPPES 11

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

Family Medicine
16180 SE SUNNYSIDE RD, STE 102
CLACKAMAS, OR 97015
Family Medicine
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015
Family Medicine
16180 SE SUNNYSIDE RD, STE 102
HAPPY VALLEY, OR 97015
Family Medicine
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015
Physician Assistant
16180 SE SUNNYSIDE RD, #102
HAPPY VALLEY, OR 97015
Family Medicine
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015
Family Medicine
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015
Physician Assistant
16180 SE SUNNYSIDE RD, STE 102
HAPPY VALLEY, OR 97015

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 Kimberly Rodda's NPI number?

The NPI number for Kimberly Rodda is 1528054384. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Kimberly Rodda located?

Kimberly Rodda practices at 16180 SE Sunnyside Rd Suite 102, Happy Valley, OR 97015. The listed phone number is (503) 582-4900.

What is Kimberly Rodda's specialty?

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

Is Kimberly Rodda enrolled in Medicare?

Yes. Kimberly Rodda 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 Kimberly Rodda accept?

Health plans from Providence Health Plan list Kimberly Rodda 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.

Is Kimberly Rodda affiliated with any hospitals?

According to CMS data, Kimberly Rodda is affiliated with Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Rodda was last updated on October 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.