KRISTOPHER KURTIS ADAMS
NPI 1679197370
Psychologist - Clinical in Vancouver, WA

Q: What is Kristopher Adams's NPI number?

The NPI number for Kristopher Adams is 1679197370. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Q: What is Kristopher Adams's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristopher Adams was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment

201 NE PARK PLAZA DR STE 145, VANCOUVER, WA 98684(360) 729-8383(360) 729-3534 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, May 29, 2020 (2 updates tracked since 2020).

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About Kristopher Kurtis Adams NPPES

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

KRISTOPHER KURTIS ADAMS (NPI 1679197370) is an individual clinical provider in Vancouver, Washington, licensed in Washington (TE61174944) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679197370

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKRISTOPHER KURTIS ADAMS

Location Address201 NE PARK PLAZA DR STE 145Vancouver, WA 98684-5873

Mailing Address2600 Center St NeSalem, OR 97301-2682 · (503) 945-2800

Phone(360) 729-8383

Fax(360) 729-3534

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 29, 2020

Last NPPES UpdateMay 19, 20212 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1679197370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in WA · TE61174944✔ Licensed in OR · 3247

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License TE61174944 (WA)

201 NE PARK PLAZA DR STE 145, Vancouver, WA 98684

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Secondary Practice Location 1

Location 12600 Center St NESalem, OR 97301-2682 · Phone (503) 945-2800

Accepted Insurance

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

Kristopher Kurtis Adams 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 ID840690780

PECOS Enrollment IDI20210614002690

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 98684 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 6

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

DR. GEORGE T MOSES D.O.

Psychiatry & Neurology (Psychiatry)