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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Kyle Anderson was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 23, 2019

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: August 16, 2026.

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

On this page

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.

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

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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 ›

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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.