KIMBERLY BOSLEY DNP, PMHNP
NPI 1881027183
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Kimberly Bosley's NPI number?

The NPI number for Kimberly Bosley is 1881027183. It was assigned to this individual provider in the NPPES registry on August 10, 2013.

Q: What is Kimberly Bosley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bosley was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 10, 2013PECOS Enrolled

33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7134 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Bosley Dnp, Pmhnp NPPES

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

KIMBERLY BOSLEY DNP, PMHNP (NPI 1881027183) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201391439NP-PP) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881027183

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY BOSLEYCredential: DNP, PMHNP

Location Address33 NW BROADWAYPortland, OR 97209-3580

Mailing Address232 Nw 6th AvePortland, OR 97209-3609

Phone(503) 228-7134

Sole ProprietorNo

Enumeration DateAugust 10, 2013

Last NPPES UpdateSeptember 1, 2022

NPPES CertifiedSeptember 1, 2022

✔ NPI 1881027183 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

License✔ Licensed in OR · 201391439NP-PP

33 NW BROADWAY, Portland, OR 97209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Bosley Dnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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 20

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

JEFFREY M MOORE LPC, CADC I

Counselor (Mental Health)