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KIMBERLY NICOLE GUADALUPE CNM
NPI 1558833921
Advanced Practice Midwife in Portland, OR

Active since December 26, 2018PECOS EnrolledAccepts Medicare Assignment
501 N GRAHAM ST STE 550, PORTLAND, OR 97227(503) 284-5220(503) 284-4971 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2025, Nov 21, 2023, Nov 22, 2021 and 3 more (6 updates tracked since 2018).

About Kimberly Nicole Guadalupe Cnm NPPES

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

KIMBERLY NICOLE GUADALUPE CNM (NPI 1558833921) is an individual advanced practice midwife in Portland, Oregon, licensed in Oregon (201809755NP-PP) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558833921
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKIMBERLY NICOLE GUADALUPECredential: CNM
Location Address501 N GRAHAM ST STE 550Portland, OR 97227-2010
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 284-5220
Fax(503) 284-4971
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 26, 2018
Last NPPES UpdateDecember 12, 20256 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1558833921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in OR · 201809755NP-PP
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
501 N GRAHAM ST STE 550, Portland, OR 97227
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Other Identifiers 2

Medicaid500758570OR
Medicaid2119698WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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 Nicole Guadalupe Cnm 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 ID5092116871
PECOS Enrollment IDI20210630002951
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.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$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 14

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

ERIKA GENE COPPERMAN DO
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
HANNAH LEE BACHELLER MD, MS
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
PHILIPPA JOHANNA ANTOINETTE RIBBINK MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
ERICA MARIE MAGELKY MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
LARA JEANNETTE WILLIAMS M.D.
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
KIRSTIE LAUREN WILSON-PANUM M.D.
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
KIMBERLY ANN SURIANO MD
Obstetrics & Gynecology
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220
COURTNEY BROOKE JACKSON N.D.
Naturopath
501 N GRAHAM ST STE 550
PORTLAND, OR 97227
Multnomah County (503) 284-5220

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 Guadalupe's NPI number?

The NPI number for Kimberly Guadalupe is 1558833921. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Kimberly Guadalupe located?

Kimberly Guadalupe practices at 501 N Graham St Ste 550, Portland, OR 97227. The listed phone number is (503) 284-5220.

What is Kimberly Guadalupe's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kimberly Guadalupe enrolled in Medicare?

Yes. Kimberly Guadalupe 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 Guadalupe accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Guadalupe 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 Guadalupe affiliated with any hospitals?

According to CMS data, Kimberly Guadalupe is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Guadalupe was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.