KELLY SCHOEPPNER ANP
NPI 1619993433
Nurse Practitioner in Portland, OR

Active since July 14, 2006
420 NE MASON ST, PORTLAND, OR 97211(503) 546-9292 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Schoeppner Anp NPPES

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

KELLY SCHOEPPNER ANP (NPI 1619993433) is an individual nurse practitioner in Portland, Oregon, licensed in Oregon (201392002NP-PP) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619993433
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY SCHOEPPNERCredential: ANP
Location Address420 NE MASON STPortland, OR 97211-3479
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1619993433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in OR · 201392002NP-PP Licensed in WA · AP30004389
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License RN00128492 (WA), AP30004389 (WA)
420 NE MASON ST, Portland, OR 97211

Other Identifiers 4

Other0209727WA · L&i
Medicaid9626268WA
Other8941623WA · State Crime Victims
Other0209727WA · State L&i

Other Providers at the Same Location NPPES 20

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

Internal Medicine
420 NE MASON ST
PORTLAND, OR 97211
Physical Therapist (Orthopedic)
420 NE MASON ST
PORTLAND, OR 97211
Registered Nurse
420 NE MASON ST
PORTLAND, OR 97211
Registered Nurse
420 NE MASON ST
PORTLAND, OR 97211
Registered Nurse
420 NE MASON ST
PORTLAND, OR 97211
Registered Nurse (Home Health)
420 NE MASON ST, CLINIC
PORTLAND, OR 97211
Licensed Practical Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Practical Nurse
420 NE MASON ST
PORTLAND, OR 97211

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 Kelly Schoeppner's NPI number?

The NPI number for Kelly Schoeppner is 1619993433. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kelly Schoeppner located?

Kelly Schoeppner practices at 420 NE Mason St, Portland, OR 97211. The listed phone number is (503) 546-9292.

What is Kelly Schoeppner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Schoeppner was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.