KELLIE ANNE NUNN MSW, LCSW
NPI 1780265454
Social Worker - Clinical in Lake Oswego, OR
About Kellie Anne Nunn Msw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE ANNE NUNN MSW, LCSW (NPI 1780265454) is an individual clinical provider in Lake Oswego, Oregon, licensed in Oregon (L12565) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (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 (PECOS)
Kellie Anne Nunn Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellie Nunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97035 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
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 Kellie Nunn's NPI number?
The NPI number for Kellie Nunn is 1780265454. It was assigned to this individual provider in the NPPES registry on April 15, 2021.
Where is Kellie Nunn located?
Kellie Nunn practices at 5 Centerpointe Dr Ste 320, Lake Oswego, OR 97035. The listed phone number is (971) 380-3853.
What is Kellie Nunn's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kellie Nunn enrolled in Medicare?
Yes. Kellie Nunn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellie Nunn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Nunn reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Kellie Nunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Nunn accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kellie Nunn 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 Kellie Nunn was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellie Anne Nunn, MSW, LCSW · NPI 1780265454
Clinical provider in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1780265454 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L12565 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 CENTERPOINTE DR STE 320, Lake Oswego, OR 97035-8696
- **Phone:** (971) 380-3853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1780265454) · Data from the CMS NPPES public registry.