KORIE KATHLYNE MULLENBERG ARNP-BC
NPI 1568239341
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Korie Kathlyne Mullenberg Arnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KORIE KATHLYNE MULLENBERG ARNP-BC (NPI 1568239341) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10019170) and active in the NPI registry since December 2023. She has opted out of Medicare through January 29, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Korie Kathlyne Mullenberg Arnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2024 through January 29, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97233
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 Korie Mullenberg's NPI number?
The NPI number for Korie Mullenberg is 1568239341. It was assigned to this individual provider in the NPPES registry on December 11, 2023. The provider is also known as Korie Kathlyne Parks.
Where is Korie Mullenberg located?
Korie Mullenberg practices at 13908 SE Stark St Ste A, Portland, OR 97233. The listed phone number is (503) 255-2343.
What is Korie Mullenberg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Korie Mullenberg enrolled in Medicare?
No. Korie Mullenberg has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Korie Mullenberg accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Korie Mullenberg 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 Korie Mullenberg was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Korie Kathlyne Mullenberg, ARNP-BC · NPI 1568239341
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since December 11, 2023.
## Identity
- **NPI:** 1568239341 (Entity type: Individual)
- **Enumerated:** December 11, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10019170 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 13908 SE STARK ST STE A, Portland, OR 97233-2161
- **Phone:** (503) 255-2343
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568239341) · Data from the CMS NPPES public registry.