KELLY KATHLEEN WOLFE FROMUTH AGPCNP-PP
NPI 1689052201
Nurse Practitioner - Primary Care in Portland, OR

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
5100 SW MACADAM AVE, #200, PORTLAND, OR 97239(971) 202-5500 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Kathleen Wolfe Fromuth Agpcnp-pp NPPES

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

KELLY KATHLEEN WOLFE FROMUTH AGPCNP-PP (NPI 1689052201) is an individual primary care provider in Portland, Oregon, licensed in Oregon (201501921NP-PP) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689052201
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY KATHLEEN WOLFE FROMUTHCredential: AGPCNP-PP
Location Address5100 SW MACADAM AVE, #200Portland, OR 97239-6102
Mailing Address5100 S Macadam Ave Ste 200Portland, OR 97239-3827 · (971) 202-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 14, 2015
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
NPI 1689052201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 201501921NP-PP
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 201501921NP-PP (OR)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 201501921NP-PP (OR)
5100 SW MACADAM AVE, Portland, OR 97239

Accepted 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

Kelly Kathleen Wolfe Fromuth Agpcnp-pp 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 ID8426360371
PECOS Enrollment IDI20150706002575
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
57 services31 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
21 services18 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
17 services12 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers19 claims19 services$38.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier30 claims30 services$3.54 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers13 claims13 services$28.67 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$13.56 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$13.83 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers20 claims20 services$178.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Nurse Practitioner (Family)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Nurse Practitioner (Gerontology)
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Counselor
5100 SW MACADAM AVE
PORTLAND, OR 97239
Counselor (Mental Health)
5100 SW MACADAM AVE
PORTLAND, OR 97239
Social Worker (Clinical)
5100 SW MACADAM AVE, SUITE 400
PORTLAND, OR 97239
Internal Medicine
5100 SW MACADAM AVE, SUITE 200
PORTLAND, OR 97239
Counselor (Mental Health)
5100 SW MACADAM AVE, SUITE 400
PORTLAND, OR 97239

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 Kelly Fromuth's NPI number?

The NPI number for Kelly Fromuth is 1689052201. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Kelly Fromuth located?

Kelly Fromuth practices at 5100 SW Macadam Ave #200, Portland, OR 97239. The listed phone number is (971) 202-5500.

What is Kelly Fromuth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelly Fromuth enrolled in Medicare?

Yes. Kelly Fromuth 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 Kelly Fromuth accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Fromuth 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 Kelly Fromuth was last updated on December 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.