KATHRYN EMILY BYNUM
NPI 1659002665
Nurse Practitioner - Family in Portola, CA

Active since June 21, 2022PECOS Enrolled
480 1ST AVE, PORTOLA, CA 96122(530) 832-6600 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathryn Emily Bynum NPPES

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

KATHRYN EMILY BYNUM (NPI 1659002665) is an individual family provider in Portola, California, licensed in California (NP95020984) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659002665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN EMILY BYNUM
Location Address480 1ST AVEPortola, CA 96122-9405
Mailing Address480 1st AvePortola, CA 96122-9405
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
NPI 1659002665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95020984
480 1ST AVE, Portola, CA 96122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Emily Bynum 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 96122 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Andy ***** June 7, 2026

5/5
Was a life changer. Is very concerned about her patients. Has an exceptional knowledge about the medical end of her practice . If you have the privilege of being one of her patients you will a very Happy camper
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 8

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

Registered Nurse
480 1ST AVE
PORTOLA, CA 96122
Clinic/Center (Rural Health)
480 1ST AVE
PORTOLA, CA 96122
General Acute Care Hospital (Critical Access)
480 1ST AVE
PORTOLA, CA 96122
Orthopaedic Surgery
480 1ST AVE
PORTOLA, CA 96122
Family Medicine
480 1ST AVE
PORTOLA, CA 96122
Physician Assistant (Medical)
480 1ST AVE
PORTOLA, CA 96122
Nurse Practitioner (Family)
480 1ST AVE
PORTOLA, CA 96122
Family Medicine
480 1ST AVE
PORTOLA, CA 96122

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 Kathryn Bynum's NPI number?

The NPI number for Kathryn Bynum is 1659002665. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Kathryn Bynum located?

Kathryn Bynum practices at 480 1st Ave, Portola, CA 96122. The listed phone number is (530) 832-6600.

What is Kathryn Bynum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Bynum enrolled in Medicare?

Yes. Kathryn Bynum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Bynum was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.