JACOB GABRIEL KIRKWOOD PMHNP
NPI 1700566585
Nurse Practitioner - Psychiatric/Mental Health in Happy Valley, OR
About Jacob Gabriel Kirkwood Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB GABRIEL KIRKWOOD PMHNP (NPI 1700566585) is an individual psychiatric/mental health provider in Happy Valley, Oregon, licensed in Oregon (10011841) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Jacob Gabriel Kirkwood Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Jacob Kirkwood's NPI number?
The NPI number for Jacob Kirkwood is 1700566585. It was assigned to this individual provider in the NPPES registry on July 18, 2023.
Where is Jacob Kirkwood located?
Jacob Kirkwood practices at 10151 SE Sunnyside Rd Ste 480, Happy Valley, OR 97015. The listed phone number is (503) 739-8321.
What is Jacob Kirkwood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacob Kirkwood enrolled in Medicare?
Yes. Jacob Kirkwood is registered in the Medicare PECOS enrollment system.
What insurance does Jacob Kirkwood accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacob Kirkwood 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 Jacob Kirkwood was last updated on July 18, 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.
# Jacob Gabriel Kirkwood, PMHNP · NPI 1700566585
Psychiatric/Mental Health physician in Happy Valley, Oregon. Individual provider, active in the CMS NPPES registry since July 18, 2023.
## Identity
- **NPI:** 1700566585 (Entity type: Individual)
- **Enumerated:** July 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10011841 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10151 SE SUNNYSIDE RD STE 480, Happy Valley, OR 97015-5705
- **Phone:** (503) 739-8321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1700566585) · Data from the CMS NPPES public registry.