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KENDRA KATHRYN MUNDSTOCK AGACNP-BC
NPI 1679041115
Nurse Practitioner - Acute Care in Clackamas, OR

Active since November 02, 2018PECOS EnrolledAccepts Medicare Assignment
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 939-7191 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Oct 2, 2019, Nov 2, 2018 (3 updates tracked since 2018).

About Kendra Kathryn Mundstock Agacnp-bc NPPES

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

KENDRA KATHRYN MUNDSTOCK AGACNP-BC (NPI 1679041115) is an individual acute care provider in Clackamas, Oregon, licensed in Oregon (201905528NP-PP) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679041115
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKENDRA KATHRYN MUNDSTOCKCredential: AGACNP-BC
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address3181 Sw Sam Jackson Park Rd # 13kPortland, OR 97239-3011
Phone(503) 939-7191
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 2, 2018
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1679041115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in OR · 201905528NP-PP✔ Licensed in TN · 25041
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11211 Medical Center DrNashville, TN 37232-0004 · Phone (615) 322-5000
Location 23181 SW Sam Jackson Park Rd # 13KPortland, OR 97239-3011 · Phone (503) 494-8311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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

Kendra Kathryn Mundstock Agacnp-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 ID6507101037
PECOS Enrollment IDI20240422001517
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

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 20

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

LOREN EDWARD JENKINS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
JENNIFER MATTSON M.D.
Internal Medicine (Cardiovascular Disease)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
HEATHER BUFFORD CRUMMETT M.D.
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, MOUNT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 571-8163
MRS. TAMI RACHEL COCHRAN PTA
Physical Therapy Assistant
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 666-7736
CANDY CHAU
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (866) 280-1228
HEATHER CAREY RN
Registered Nurse (Ambulatory Care)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
ALLYSON ADAMS
Family Medicine
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
KELLY ELIZABETH JACKSON PT, DPT
Physical Therapist (Orthopedic)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000

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 Kendra Mundstock's NPI number?

The NPI number for Kendra Mundstock is 1679041115. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Kendra Mundstock located?

Kendra Mundstock practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 939-7191.

What is Kendra Mundstock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kendra Mundstock enrolled in Medicare?

Yes. Kendra Mundstock 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 Kendra Mundstock accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Kendra Mundstock 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.

Is Kendra Mundstock affiliated with any hospitals?

According to CMS data, Kendra Mundstock is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Kendra Mundstock was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.