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CHARLOTTE KLINE PMHNP
NPI 1609564004
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since April 25, 2023PECOS EnrolledAccepts Medicare Assignment
1120 SW 3RD AVE, PORTLAND, OR 97204(503) 988-3689 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlotte Kline Pmhnp NPPES

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

CHARLOTTE KLINE PMHNP (NPI 1609564004) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10007512) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609564004
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHARLOTTE KLINECredential: PMHNP
Location Address1120 SW 3RD AVEPortland, OR 97204-2828
Mailing Address15795 Sw 87th AvePortland, OR 97224-5686 · (503) 913-4594
Phone(503) 988-3689
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1609564004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10007512
1120 SW 3RD AVE, Portland, OR 97204
Open in Google Maps ↗

Other Names 1

Former Name (1)Charlotte Sidman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Charlotte Kline Pmhnp 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 ID3274980693
PECOS Enrollment IDI20231107001934
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services27 patients

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97204 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.

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.

MULTNOMAH COUNTY
Clinic/Center (Prison Health)
1120 SW 3RD AVE, DENTENTION CENTER
PORTLAND, OR 97204
Multnomah County (503) 988-3976
SANDRA J MCALLISTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE, 4TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-4893
MULTNOMAH COUNTY
Clinic/Center (Dental)
1120 SW 3RD AVE, DETENTION CENTER
PORTLAND, OR 97204
Multnomah County (503) 988-3976
DR. ROBERTA MAIXNER DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-3689
DR. CLAY FEDAK PSY.D.
Counselor (Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (608) 957-6139
DR. MARY ANNA GORDON DNP, RN
Registered Nurse
1120 SW 3RD AVE, 4TH FLOOR MEDICAL
PORTLAND, OR 97204
Multnomah County (503) 988-5897
NATHANAEL LYONS RN
Registered Nurse (Community Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4084
MS. MELANIE JANE PARKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4832

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 Charlotte Kline's NPI number?

The NPI number for Charlotte Kline is 1609564004. It was assigned to this individual provider in the NPPES registry on April 25, 2023. The provider is also known as Charlotte Sidman.

Where is Charlotte Kline located?

Charlotte Kline practices at 1120 SW 3rd Ave, Portland, OR 97204. The listed phone number is (503) 988-3689.

What is Charlotte Kline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charlotte Kline enrolled in Medicare?

Yes. Charlotte Kline 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 Charlotte Kline accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Charlotte Kline 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 Charlotte Kline affiliated with any hospitals?

According to CMS data, Charlotte Kline is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Charlotte Kline was last updated on April 25, 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.