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KIMBERLY SABIN PMHNP-BC
NPI 1669676193
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
12901 SE 97TH AVE STE 105, CLACKAMAS, OR 97015(503) 912-4788(503) 912-4787 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Aug 15, 2018 (2 updates tracked since 2018).

About Kimberly Sabin Pmhnp-bc NPPES

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

KIMBERLY SABIN PMHNP-BC (NPI 1669676193) is an individual psychiatric/mental health provider in Clackamas, Oregon, licensed in Oregon (201806291NP-PP) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669676193
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY SABINCredential: PMHNP-BC
Location Address12901 SE 97TH AVE STE 105Clackamas, OR 97015-7902
Mailing Address12901 Se 97th Ave Ste 105Clackamas, OR 97015-7902 · (503) 912-4788 · Fax (503) 912-4787
Phone(503) 912-4788
Fax(503) 912-4787
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 11, 2007
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1669676193 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 · 201806291NP-PP
12901 SE 97TH AVE STE 105, Clackamas, OR 97015
Open in Google Maps ↗

Other Identifiers 1

Medicaid500749357OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Sabin 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 ID8628313681
PECOS Enrollment IDI20181219000784
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 Sabin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cognitive Care Medical Group LLC
Same address
Psychiatry
12901 SE 97TH AVE STE 105
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1770023186 (503) 912-4788

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 97015 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 3

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

DR. HEATHER L KNOTT DO
Psychiatry & Neurology (Psychiatry)
12901 SE 97TH AVE STE 105
CLACKAMAS, OR 97015
Clackamas County (503) 912-4788
JESSE L MORRIS PMHNP, DNP
Nurse Practitioner (Psychiatric/Mental Health)
12901 SE 97TH AVE STE 105
CLACKAMAS, OR 97015
Clackamas County (503) 912-4788
COGNITIVE CARE MEDICAL GROUP LLC
Psychiatry & Neurology (Psychiatry)
12901 SE 97TH AVE STE 105
CLACKAMAS, OR 97015
Clackamas County (503) 912-4788

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 Sabin's NPI number?

The NPI number for Kimberly Sabin is 1669676193. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Kimberly Sabin located?

Kimberly Sabin practices at 12901 SE 97th Ave Ste 105, Clackamas, OR 97015. The listed phone number is (503) 912-4788.

What is Kimberly Sabin's specialty?

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

Is Kimberly Sabin enrolled in Medicare?

Yes. Kimberly Sabin 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.

Which organization bills Medicare for Kimberly Sabin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sabin reassigns Medicare benefits to Cognitive Care Medical Group LLC (Clackamas, 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 Sabin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Sabin accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Sabin 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 Sabin was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.