KATHERINE KILKENNY
NPI 1730624941
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Katherine Kilkenny's NPI number?

The NPI number for Katherine Kilkenny is 1730624941. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Q: What is Katherine Kilkenny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Katherine Kilkenny enrolled in Medicare?

No. Katherine Kilkenny has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since December 23, 2016Opted out of Medicare · through Jul 1, 2027

4212 NE BROADWAY, PORTLAND, OR 97213(503) 249-8787(509) 338-7706 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2020, Jan 24, 2019, Jan 23, 2017 and 1 more (4 updates tracked since 2016).

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About Katherine Kilkenny NPPES

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

KATHERINE KILKENNY (NPI 1730624941) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201900092NPPP) and active in the NPI registry since December 2016. She has opted out of Medicare through July 1, 2027 and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1730624941

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHERINE KILKENNY

Location Address4212 NE BROADWAYPortland, OR 97213

Mailing Address4212 Ne BroadwayPortland, OR 97213-1422 · (503) 249-8787 · Fax (503) 382-7706

Phone(503) 249-8787

Fax(509) 338-7706

Sole ProprietorNo

Enumeration DateDecember 23, 2016

Last NPPES UpdateFebruary 12, 20204 updates tracked since enumeration

✔ NPI 1730624941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201900092NPPP

Also ListedRegistered NurseTaxonomy 163W00000X · License 201810546RN (OR)

4212 NE BROADWAY, Portland, OR 97213

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Secondary Practice Location 1

Location 14212 NE BroadwayPortland, OR 97213-1422 · Phone (503) 249-8787 · Fax (509) 338-7706

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Katherine Kilkenny has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

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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.

GEORGE W BENGTSON MD

Pediatrics