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DR. KELLY YAKIWCHUK DC
NPI 1558481895
Chiropractor in Portland, OR

Active since March 30, 2007Accepts Medicare Assignment
12615 NE HALSEY ST, PORTLAND, OR 97230(971) 377-1717 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kelly Yakiwchuk Dc NPPES

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

DR. KELLY YAKIWCHUK DC (NPI 1558481895) is an individual chiropractor in Portland, Oregon, licensed in Oregon (3347) and active in the NPI registry since March 2007. He is a graduate of Western States College Of Chiropractic (2001).

NPPES Registry Identity

NPI1558481895
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY YAKIWCHUKCredential: DC
Location Address12615 NE HALSEY STPortland, OR 97230-1930
Mailing Address6116 Se Steele StPortland, OR 97206-5459 · (971) 500-6967
Phone(971) 377-1717
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2001
Enumeration DateMarch 30, 2007
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1558481895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3347
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12615 NE HALSEY ST, Portland, OR 97230
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Yakiwchuk Dc 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 ID3274851431
PECOS Enrollment IDI20150420000603

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Yakiwchuk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capitano Chiropractic, PC
1.8 mi
Chiropractor
11125 NE SANDY BLVD
Portland, OR 97220
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1760651830 (503) 257-3377
Valleyview Injury & Physical Medicine, PC
6.9 mi
Public Health & General Preventive Medicine
2850 SE POWELL VALLEY RD, SUITE 205
Gresham, OR 97080
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1174997423 (503) 489-1998

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

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
50 services11 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
28 services11 patients

Other Providers at the Same Location NPPES 8

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

OKU HEALTH. LLC
Acupuncturist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 377-1717
VICTORIA B. LAPORTE FNP
Nurse Practitioner
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 254-7355
OKU HEALTH, LLC
Acupuncturist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 377-1717
MELISSA BROWN LMT
Massage Therapist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 377-1717
SCARLETT PAAU KETTUNEN LAC
Acupuncturist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 377-1717
COLIBRI ACUPUNCTURE AND WELLNESS
Acupuncturist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (714) 655-2095
ANDRES CARDENAS LAC
Acupuncturist
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (714) 655-2095
GWENYTH F ISAACS MD
Family Medicine
12615 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 254-7355

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 Yakiwchuk's NPI number?

The NPI number for Kelly Yakiwchuk is 1558481895. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Kelly Yakiwchuk located?

Kelly Yakiwchuk practices at 12615 NE Halsey St, Portland, OR 97230. The listed phone number is (971) 377-1717.

What is Kelly Yakiwchuk's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Yakiwchuk enrolled in Medicare?

Yes. Kelly Yakiwchuk 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.

Which organizations bill Medicare for Kelly Yakiwchuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Yakiwchuk reassigns Medicare benefits to 2 organizations: Capitano Chiropractic, PC (Portland, OR) and Valleyview Injury & Physical Medicine, PC (Gresham, OR). Each 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 Yakiwchuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Yakiwchuk accept?

Health plans from Moda Health Plan, Inc. list Kelly Yakiwchuk 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 Yakiwchuk was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.