KAITLYN ANNE STETTNICHS MD
NPI 1962082503
Family Medicine in Portland, OR
About Kaitlyn Anne Stettnichs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN ANNE STETTNICHS MD (NPI 1962082503) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD224763) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kaitlyn Anne Stettnichs Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Stettnichs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 97219
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 Kaitlyn Stettnichs's NPI number?
The NPI number for Kaitlyn Stettnichs is 1962082503. It was assigned to this individual provider in the NPPES registry on April 8, 2021.
Where is Kaitlyn Stettnichs located?
Kaitlyn Stettnichs practices at 4411 SW Vermont St, Portland, OR 97219. The listed phone number is (503) 494-9992.
What is Kaitlyn Stettnichs's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaitlyn Stettnichs enrolled in Medicare?
Yes. Kaitlyn Stettnichs 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 Kaitlyn Stettnichs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Stettnichs reassigns Medicare benefits to University Professional Services (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 Kaitlyn Stettnichs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlyn Stettnichs accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kaitlyn Stettnichs 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.
Is Kaitlyn Stettnichs affiliated with any hospitals?
According to CMS data, Kaitlyn Stettnichs is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Kaitlyn Stettnichs was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Kaitlyn Anne Stettnichs, MD · NPI 1962082503
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1962082503 (Entity type: Individual)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD224763 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4411 SW VERMONT ST, Portland, OR 97219-1020
- **Phone:** (503) 494-9992
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2021
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962082503) · Data from the CMS NPPES public registry.