MISS KELLI GRACE KNUDSEN MSW, QMHP
NPI 1841700366
Counselor - Mental Health in Portland, OR
About Miss Kelli Grace Knudsen Msw, Qmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLI GRACE KNUDSEN MSW, QMHP (NPI 1841700366) is an individual mental health provider in Portland, Oregon, licensed in Oregon (L10639) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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)
Miss Kelli Grace Knudsen Msw, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelli Knudsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1184786527 (Washington)
- 3,207 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.
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.
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Kelli Knudsen's NPI number?
The NPI number for Kelli Knudsen is 1841700366. It was assigned to this individual provider in the NPPES registry on October 11, 2017.
Where is Kelli Knudsen located?
Kelli Knudsen practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (800) 813-2000.
What is Kelli Knudsen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelli Knudsen enrolled in Medicare?
Yes. Kelli Knudsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelli Knudsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Knudsen reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Kelli Knudsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Knudsen accept?
Health plans from Kaiser Permanente list Kelli Knudsen 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 Kelli Knudsen was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Miss Kelli Grace Knudsen, MSW, QMHP · NPI 1841700366
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 11, 2017.
## Identity
- **NPI:** 1841700366 (Entity type: Individual)
- **Enumerated:** October 11, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** L10639 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3550 N INTERSTATE AVE, Portland, OR 97227-1097
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841700366) · Data from the CMS NPPES public registry.