1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Nurse Practitioner
  6. NPI Profile

MR. KYLE EDWARD ANDERSON PMHNP-BC
NPI 1912540980
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since October 23, 2019PECOS Enrolled
12655 SW CENTER ST STE 150, BEAVERTON, OR 97005(503) 832-0945 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Nov 5, 2020, Oct 23, 2019 (3 updates tracked since 2019).

About Mr. Kyle Edward Anderson Pmhnp-bc NPPES

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

MR. KYLE EDWARD ANDERSON PMHNP-BC (NPI 1912540980) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (202007455NP-PP) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912540980
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KYLE EDWARD ANDERSONCredential: PMHNP-BC
Location Address12655 SW CENTER ST STE 150Beaverton, OR 97005-1864
Mailing Address1410 Ne 106th AvePortland, OR 97220-3934 · (210) 289-5953
Phone(503) 832-0945
Sole ProprietorNo
Enumeration DateOctober 23, 2019
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1912540980 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 · 202007455NP-PP✔ Licensed in TX · AP143637
12655 SW CENTER ST STE 150, Beaverton, OR 97005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kyle Edward Anderson Pmhnp-bc 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 97005 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 2

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

PSYCHIATRIST ON-CALL, LLC
Psychiatry & Neurology (Psychiatry)
12655 SW CENTER ST STE 150
BEAVERTON, OR 97005
Washington County (503) 832-0945
LISA MARY CHILDS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
12655 SW CENTER ST STE 150
BEAVERTON, OR 97005
Washington County (503) 832-0945

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 Kyle Anderson's NPI number?

The NPI number for Kyle Anderson is 1912540980. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Kyle Anderson located?

Kyle Anderson practices at 12655 SW Center St Ste 150, Beaverton, OR 97005. The listed phone number is (503) 832-0945.

What is Kyle Anderson's specialty?

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

Is Kyle Anderson enrolled in Medicare?

Yes. Kyle Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Anderson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kyle Anderson 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 Kyle Anderson was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.