MRS. KELSEY MARIE CONKLIN RN, FNP
NPI 1801255120
Nurse Practitioner - Family in Redmond, OR
About Mrs. Kelsey Marie Conklin Rn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELSEY MARIE CONKLIN RN, FNP (NPI 1801255120) is an individual family provider in Redmond, Oregon, licensed in Oregon (201505842NP-PP) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelsey Marie Conklin Rn, Fnp 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kelsey Conklin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 317 clinicians in this Medicare group
Molalla, OR 97038
- Reassigned Medicare billing, Oregon enrollment
- 568 clinicians in this Medicare group
Sandy, OR 97055
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- 132 clinicians in this Medicare group
Tualatin, OR 97062
- Reassigned Medicare billing, Oregon enrollment
- 218 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 719 clinicians in this Medicare group
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 387 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORLegacy Silverton Medical Center
Acute Care Hospitals · Silverton, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORLegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsey Conklin's NPI number?
The NPI number for Kelsey Conklin is 1801255120. It was assigned to this individual provider in the NPPES registry on February 15, 2016.
Where is Kelsey Conklin located?
Kelsey Conklin practices at 865 SW Veterans Way, Redmond, OR 97756. The listed phone number is (541) 382-4900.
What is Kelsey Conklin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelsey Conklin enrolled in Medicare?
Yes. Kelsey Conklin 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.
Which organizations bill Medicare for Kelsey Conklin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Conklin reassigns Medicare benefits to 7 organizations: Bend Memorial Clinic PC (Bend, OR), Silverton Health (Molalla, OR), Legacy Clinics LLC (Sandy, OR), Legacy Mount Hood Medical Center (Gresham, OR), Legacy Meridian Park Hospital (Tualatin, OR) and 2 more organizations, listed in the Medicare section above. Each 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 Kelsey Conklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Conklin affiliated with any hospitals?
According to CMS data, Kelsey Conklin is affiliated with Legacy Good Samaritan Medical Center, Legacy Silverton Medical Center, Legacy Meridian Park Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Kelsey Conklin was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Kelsey Marie Conklin, RN, FNP · NPI 1801255120
Family physician in Redmond, Oregon. Individual provider, active in the CMS NPPES registry since February 15, 2016.
## Identity
- **NPI:** 1801255120 (Entity type: Individual)
- **Enumerated:** February 15, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201505842NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 865 SW VETERANS WAY, Redmond, OR 97756-2583
- **Phone:** (541) 382-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Bend Memorial Clinic PC (NPI 1699827477, Bend, OR); Silverton Health (NPI 1861116055, Molalla, OR); Legacy Clinics LLC (NPI 1730472192, Sandy, OR); Legacy Mount Hood Medical Center (NPI 1255354700, Gresham, OR); Legacy Meridian Park Hospital (NPI 1023305034, Tualatin, OR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 10, 2022
- **Other identifiers:** Medicaid 500706302 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1801255120) · Data from the CMS NPPES public registry.