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

Q: 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.

Q: What is Kristina Leidich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristina Leidich was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

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, is affiliated with Legacy Mount Hood Medical Center, 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

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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 IDI20210615001405

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 Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

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 9

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

MR. BENEDICT MARK M BUNAL NP

Nurse Practitioner (Family)