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KOHL KIMOTO APRN
NPI 1851240915
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since January 22, 2026PECOS EnrolledAccepts Medicare Assignment
360 E 10TH AVE STE 308, EUGENE, OR 97401(833) 646-9633 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Mar 2, 2026, Jan 22, 2026 (3 updates tracked since 2026).

About Kohl Kimoto Aprn NPPES

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

KOHL KIMOTO APRN (NPI 1851240915) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Oregon (10056381) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of University Of South Alabama College Of Medicine (2025).

NPPES Registry Identity

NPI1851240915
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKOHL KIMOTOCredential: APRN
Location Address360 E 10TH AVE STE 308Eugene, OR 97401-3687
Mailing Address475 Riverview BlvdSpringfield, OR 97477-3869
Phone(833) 646-9633
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2025
Enumeration DateJanuary 22, 2026
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1851240915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10056381✔ Licensed in UT · 10357449-4405✔ Licensed in WA · AP70097585
360 E 10TH AVE STE 308, Eugene, OR 97401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 Riverview BlvdSpringfield, OR 97477-3869 · Phone (702) 234-0489

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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

Kohl Kimoto Aprn 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.

PECOS PAC ID2668945544
PECOS Enrollment IDI20260623000627
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kohl Kimoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lonerock Clinic LLC
Same address
Adult Mental Health
360 E 10TH AVE STE 308
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Virtual Visit LLC
  • 4 clinicians in this Medicare group
NPI 1366105199 (208) 720-3948

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 97401 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 5

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

CEDAR SHARPE LCSW
Social Worker (Clinical)
360 E 10TH AVE STE 308
EUGENE, OR 97401
Lane County (833) 646-3633
LONEROCK CLINIC LLC
Clinic/Center (Adult Mental Health)
360 E 10TH AVE STE 308
EUGENE, OR 97401
Lane County (208) 720-3948
MS. KIMBERLY JUNE METHENY LCSW
Social Worker (Clinical)
360 E 10TH AVE STE 308
EUGENE, OR 97401
Lane County (833) 646-3633
MS. CAMILLE ELLEN PINCOCK PA-C
Psychiatry & Neurology (Psychiatry)
360 E 10TH AVE STE 308
EUGENE, OR 97401
Lane County (208) 720-3948
MS. LISA HEAP FNP
Nurse Practitioner (Family)
360 E 10TH AVE STE 308
EUGENE, OR 97401
Lane County (833) 646-3633

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 Kohl Kimoto's NPI number?

The NPI number for Kohl Kimoto is 1851240915. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Kohl Kimoto located?

Kohl Kimoto practices at 360 E 10th Ave Ste 308, Eugene, OR 97401. The listed phone number is (833) 646-9633.

What is Kohl Kimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kohl Kimoto enrolled in Medicare?

Yes. Kohl Kimoto 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 organization bills Medicare for Kohl Kimoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kohl Kimoto reassigns Medicare benefits to Lonerock Clinic LLC (Eugene, 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 Kohl Kimoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kohl Kimoto accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kohl Kimoto 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 Kohl Kimoto was last updated on June 3, 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.