KRISTINE JOST WINDOM PAC
NPI 1841282357
Physician Assistant - Surgical in Portland, OR

NPI Status: Active since August 19, 2005

Contact Information

9155 SW BARNES RD
SUITE 440
PORTLAND, OR
ZIP 97225
Phone: (503) 297-3766
Fax: (503) 297-8148

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  • Individual
  • Female
  • Years of Experience 24
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTINE WINDOM

This page provides the complete NPI Profile along with additional information for Kristine Windom, a provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in surgical and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1841282357 assigned on August 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA00978 (OR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1841282357
Provider Name
KRISTINE JOST WINDOM PAC
Other Name
KRISTINE JOST PAC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
9155 SW BARNES RD SUITE 440 PORTLAND, OR 97225
Location Phone
(503) 297-3766
Location Fax
(503) 297-8148
Mailing Address
975 SE SANDY BLVD SUITE 201 PORTLAND, OR 97214
Mailing Phone
(503) 236-0775
Mailing Fax
(503) 297-8148
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
08-19-2005
Last Update Date
09-13-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA00978
License State
OR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA10004840 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q17191MEDICARE UPIN (02)OR 
500602008MEDICAID (05)OR 
119341MEDICARE ID-TYPE UNSPECIFIED (04)OR 
165790MEDICARE PIN (08)OR 

Medicare Participation & PECOS Enrollment Status

Kristine Windom is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kristine Windom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2062490493

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040712000542

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1841282357, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 4 + 8 + 4 + 3 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1841282357.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
9155 SW BARNES RD, STE 740
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 418
PORTLAND, OR 97225
Ophthalmology
9155 SW BARNES RD, 336
PORTLAND, OR 97225
Plastic Surgery (Surgery of the Hand)
9155 SW BARNES RD, STE 220
PORTLAND, OR 97225
Surgery
9155 SW BARNES RD, STE 217
PORTLAND, OR 97225
Urology
9155 SW BARNES RD, SUITE 836
PORTLAND, OR 97225
Physician Assistant
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Neurological Surgery
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 340
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, STE 204
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9155 SW BARNES RD, #204
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 238
PORTLAND, OR 97225
Otolaryngology
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Clinic/Center
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9155 SW BARNES RD, STE 240
PORTLAND, OR 97225
Physician Assistant (Surgical)
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841282357, enumerated as an "individual" on August 19, 2005.

The provider is located at 9155 SW BARNES RD SUITE 440 PORTLAND, OR 97225 and the phone number is (503) 297-3766.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Kaiser Permanente, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.