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KRISTINA MICHELLE LEIDICH FNP
NPI 1619517406
Family Medicine in Portland, OR

Active since January 09, 2020PECOS EnrolledAccepts Medicare Assignment
18633 SE STARK ST STE 401, PORTLAND, OR 97233(503) 489-1760 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Jan 9, 2020 (2 updates tracked since 2020).

About Kristina Michelle Leidich Fnp NPPES

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

KRISTINA MICHELLE LEIDICH FNP (NPI 1619517406) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (201911095NP-PP) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619517406
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINA MICHELLE LEIDICHCredential: FNP
Location Address18633 SE STARK ST STE 401Portland, OR 97233-5468
Mailing Address18738 Se Grant StPortland, OR 97233-5518 · (541) 499-8887
Phone(503) 489-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1619517406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · 201911095NP-PP
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18633 SE STARK ST STE 401, Portland, OR 97233
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Other Names 1

Professional Name (2)Kristina Michelle Leidich Np

Accepted Insurance

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

Kristina Michelle Leidich Fnp 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 ID2961813340
PECOS Enrollment IDI20260615002758
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Leidich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Wallace Medical Concern
Same address
Federally Qualified Health Center (FQHC)
18633 SE STARK ST STE 401
Portland, OR 97233
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
NPI 1841592110 (503) 489-1760

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 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 11

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

DR. MERIT ROSHDY DMD
Dentist (General Practice)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
DR. MIKHAIL BONDAREW DDS
Dentist
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
MARQUISHIA WINTERS FNP-BC
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
STEPHANIE LUX SILLECK NP
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
AMBER MOREMEN
Dental Hygienist
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
MR. BENEDICT MARK M BUNAL NP
Nurse Practitioner (Family)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
THE WALLACE MEDICAL CONCERN
Clinic/Center (Dental)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760
BRITTA MARINA MARTINEZ DMD
Dentist (General Practice)
18633 SE STARK ST STE 401
PORTLAND, OR 97233
Multnomah County (503) 489-1760

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 Kristina Leidich's NPI number?

The NPI number for Kristina Leidich is 1619517406. It was assigned to this individual provider in the NPPES registry on January 9, 2020. The provider is also known as Kristina Michelle Leidich Np.

Where is Kristina Leidich located?

Kristina Leidich practices at 18633 SE Stark St Ste 401, Portland, OR 97233. The listed phone number is (503) 489-1760.

What is Kristina Leidich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristina Leidich enrolled in Medicare?

Yes. Kristina Leidich 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 organization bills Medicare for Kristina Leidich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Leidich reassigns Medicare benefits to The Wallace Medical Concern (Portland, OR). The 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 Kristina Leidich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Leidich accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kristina Leidich 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 Kristina Leidich was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.