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KIMBERLY RENEE RICKEL PMHNP-BC
NPI 1619664497
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since April 20, 2023PECOS Enrolled
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213(503) 215-6556 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 24, 2025, Dec 11, 2024, Jun 2, 2023 (3 updates tracked since 2023).

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
Open in Google Maps ↗

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 Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Providence Health & Services - Oregon
0.5 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000

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 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 10

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

ANGELA LEE LCSW
Social Worker (Clinical)
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
ANDREA ROSE BINUS MSW, CSWA
Social Worker
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
DANYA SAEED BUTTI ALI ALMHEIRI BS, MS
Pharmacist (Geriatric)
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
DEBORAH T MILLER LPN
Licensed Practical Nurse
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
GRETCHEN ARNOLD METZLER RN
Registered Nurse (Case Management)
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
AMY KATHERINE OWOTOR RN
Registered Nurse (Gerontology)
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
BERNADETTE SI LE LEE PHARMD
Pharmacist
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
IRENE POLLY MATHEWS
Registered Nurse
4400 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-3601

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 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.

Where is Kimberly Rickel located?

Kimberly Rickel practices at 4400 NE Halsey St Ste 200, Portland, OR 97213. The listed phone number is (503) 215-6556.

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.

Is Kimberly Rickel enrolled in Medicare?

Yes. Kimberly Rickel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Rickel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Rickel reassigns Medicare benefits to Providence Health & Services - Oregon (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 Kimberly Rickel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Rickel accept?

Health plans from Moda Health Plan, Inc. list Kimberly Rickel 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 Kimberly Rickel was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.