KATHERINE ROOSE CPNP
NPI 1821547985
Nurse Practitioner - Pediatrics in Clackamas, OR

Active since September 29, 2016Opted out of Medicare · through Aug 9, 2027
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015(503) 659-1694 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2020, Sep 29, 2016 (2 updates tracked since 2016).

About Katherine Roose Cpnp NPPES

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

KATHERINE ROOSE CPNP (NPI 1821547985) is an individual pediatrics provider in Clackamas, Oregon, licensed in Oregon (201608030NP-PP) and active in the NPI registry since September 2016. She has opted out of Medicare through August 9, 2027.

NPPES Registry Identity

NPI1821547985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE ROOSECredential: CPNP
Location Address8645 SE SUNNYBROOK BLVD STE 200Clackamas, OR 97015-6841
Mailing Address8645 Se Sunnybrook Blvd Ste 200Clackamas, OR 97015-6841 · (503) 659-1694
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
NPI 1821547985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 201608030NP-PP
8645 SE SUNNYBROOK BLVD STE 200, Clackamas, OR 97015

Other Names 1

Former Name (1)Katherine Zackin Cpnp

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katherine Roose Cpnp 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 August 9, 2021 through August 9, 2027.

Opt-Out Effective DateAugust 9, 2021
Opt-Out In Effect ThroughAugust 9, 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 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.

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Counselor (Mental Health)
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Student in an Organized Health Care Education/Training Program
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Physician Assistant
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
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 Katherine Roose's NPI number?

The NPI number for Katherine Roose is 1821547985. It was assigned to this individual provider in the NPPES registry on September 29, 2016. The provider is also known as Katherine Zackin Cpnp.

Where is Katherine Roose located?

Katherine Roose practices at 8645 SE Sunnybrook Blvd Ste 200, Clackamas, OR 97015. The listed phone number is (503) 659-1694.

What is Katherine Roose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katherine Roose enrolled in Medicare?

No. Katherine Roose has opted out of Medicare through August 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katherine Roose accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Katherine Roose 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 Katherine Roose was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.