MR. REGINALD VANNESS GILMORE II
NPI 1679129217
Counselor - Mental Health in Lake Oswego, OR
About Mr. Reginald Vanness Gilmore Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. REGINALD VANNESS GILMORE II (NPI 1679129217) is an individual mental health provider in Lake Oswego, Oregon and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Reginald Vanness Gilmore Ii 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.
Medicare Billing Reassignment
Medicare enrollment records show Reginald Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon enrollment
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Reginald Gilmore's NPI number?
The NPI number for Reginald Gilmore is 1679129217. It was assigned to this individual provider in the NPPES registry on August 9, 2019.
Where is Reginald Gilmore located?
Reginald Gilmore practices at 2507 Christie Dr, Lake Oswego, OR 97034. The listed phone number is (503) 635-3416.
What is Reginald Gilmore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Reginald Gilmore enrolled in Medicare?
Yes. Reginald Gilmore 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 Reginald Gilmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reginald Gilmore reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (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 Reginald Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Reginald Gilmore accept?
Health plans from Kaiser Permanente list Reginald Gilmore 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 Reginald Gilmore was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Reginald Vanness Gilmore II · NPI 1679129217
Mental Health provider in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since August 9, 2019.
## Identity
- **NPI:** 1679129217 (Entity type: Individual)
- **Enumerated:** August 9, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2507 CHRISTIE DR, Lake Oswego, OR 97034
- **Phone:** (503) 635-3416
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1679129217) · Data from the CMS NPPES public registry.