KATHERINE LATTIMER PMHNP-BC
NPI 1659923779
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
4212 NE BROADWAY, PORTLAND, OR 97213(503) 249-8787 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Apr 16, 2023, Jul 9, 2019 (3 updates tracked since 2019).

About Katherine Lattimer Pmhnp-bc NPPES

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

KATHERINE LATTIMER PMHNP-BC (NPI 1659923779) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10005847) and active in the NPI registry since July 2019. The provider is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659923779
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameKATHERINE LATTIMERCredential: PMHNP-BC
Location Address4212 NE BROADWAYPortland, OR 97213-1422
Mailing Address2216 Ne 21st AvePortland, OR 97212-4622 · (503) 701-4880
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 9, 2019
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1659923779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 10005847
Also ListedRegistered NurseTaxonomy 163W00000X · License 201403853RN (OR)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 201403853RN (OR)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201403853RN (OR)
4212 NE BROADWAY, Portland, OR 97213

Other Names 1

Former Name (1)Katherine Lattimer-ryneal Rn

Other Identifiers 2

Other10005847OR · Oregon State Board Of Nursing
Other201403853RNOR · Oregon State Board Of Nursing

Accepted 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

Katherine Lattimer Pmhnp-bc 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 ID4486014388
PECOS Enrollment IDI20230724000925
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 20

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

Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Pediatrics
4212 NE BROADWAY
PORTLAND, OR 97213
Internal Medicine
4212 NE BROADWAY
PORTLAND, OR 97213

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 Katherine Lattimer's NPI number?

The NPI number for Katherine Lattimer is 1659923779. It was assigned to this individual provider in the NPPES registry on July 9, 2019. The provider is also known as Katherine Lattimer-Ryneal Rn.

Where is Katherine Lattimer located?

Katherine Lattimer practices at 4212 NE Broadway, Portland, OR 97213. The listed phone number is (503) 249-8787.

What is Katherine Lattimer's specialty?

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

Is Katherine Lattimer enrolled in Medicare?

Yes. Katherine Lattimer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katherine Lattimer accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Katherine Lattimer 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 Katherine Lattimer was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.