KIMBERLY RENEE RICKEL PMHNP-BC - NPI 1619664497 - Nurse Practitioner in Portland, OR

Q: What is Kimberly Rickel's NPI number?

The NPI number for Kimberly Rickel is 1619664497. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Q: What is Kimberly Rickel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Rickel was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Renee Rickel Pmhnp-bc NPPES

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

KIMBERLY RENEE RICKEL PMHNP-BC (NPI 1619664497) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10006273) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619664497

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY RENEE RICKELCredential: PMHNP-BC

Location Address4400 NE HALSEY ST STE 200Portland, OR 97213-1545

Mailing Address4400 Ne Halsey St Ste 200Portland, OR 97213-1545 · (503) 215-6556

Phone(503) 215-6556

Sole ProprietorNo

Enumeration DateApril 20, 2023

Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1619664497 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 · 10006273

4400 NE HALSEY ST STE 200, Portland, OR 97213

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Secondary Practice Locations 2

Location 12110 Mission St SE Ste 305Salem, OR 97302-0038 · Phone (541) 223-5857

Location 214535 Westlake Dr Ste CLake Oswego, OR 97035-7775 · Phone (503) 214-2431 · Fax (503) 214-8460

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 (PECOS)

Kimberly Renee Rickel Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

ANGELA LEE LCSW

Social Worker (Clinical)