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MISS KELLIE RENEE GRAHAM WALSH FNP
NPI 1679090757
Nurse Practitioner - Family in Portland, OR

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 SW BOND AVE STE 9, PORTLAND, OR 97239(503) 494-7400(503) 494-4749 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2018, Aug 29, 2017 (2 updates tracked since 2017).

About Miss Kellie Renee Graham Walsh Fnp NPPES

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

MISS KELLIE RENEE GRAHAM WALSH FNP (NPI 1679090757) is an individual family provider in Portland, Oregon, licensed in Oregon (201809498NP-PP) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679090757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KELLIE RENEE GRAHAM WALSHCredential: FNP
Location Address3303 SW BOND AVE STE 9Portland, OR 97239-4501
Mailing Address3303 Sw Bond Ave Ste 9Portland, OR 97239-4501 · (503) 494-7400 · Fax (503) 494-4749
Phone(503) 494-7400
Fax(503) 494-4749
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2017
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1679090757 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 OR · 201809498NP-PP
3303 SW BOND AVE STE 9, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Miss Kellie Renee Graham Walsh Fnp 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 ID9537408828
PECOS Enrollment IDI20190304002717
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.

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

MR. LUKE IVAN MASHA MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-7400
DIANE S OSBORN ARNP
Nurse Practitioner (Adult Health)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-7400
MEGHAN MANNELLO MS, CGC
Genetic Counselor, MS
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-3985
KATHERINE O SPIRA DNP
Nurse Practitioner (Family)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-8573
ALLAN HARRELSON DO, PHD
Internal Medicine (Cardiovascular Disease)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-7400
COURTNEY MARGARET CRAIGAN RN
Nurse Practitioner (Family)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-7400
DR. ELIZABETH A HOURIHAN MD
Family Medicine
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-8573
MRS. SYDNEY ELIZABETH THOMPSON FNP
Nurse Practitioner (Primary Care)
3303 SW BOND AVE STE 9
PORTLAND, OR 97239
Multnomah County (503) 494-8573

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 Kellie Walsh's NPI number?

The NPI number for Kellie Walsh is 1679090757. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Kellie Walsh located?

Kellie Walsh practices at 3303 SW Bond Ave Ste 9, Portland, OR 97239. The listed phone number is (503) 494-7400.

What is Kellie Walsh's specialty?

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

Is Kellie Walsh enrolled in Medicare?

Yes. Kellie Walsh 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 Kellie Walsh accept?

Health plans from Kaiser Permanente list Kellie Walsh 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 Kellie Walsh affiliated with any hospitals?

According to CMS data, Kellie Walsh is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kellie Walsh was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.