Katie Conklin, ARNP - Medicare Nurse Practitioner in Portland, OR

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Katie Conklin, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 301 Ne Knott St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 253-3910.

Katie Conklin is licensed to practice in Oregon (license number 201810182NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235546607.

Contact Information

Katie Conklin, ARNP
301 Ne Knott St,
Portland, OR 97212-3014
(503) 253-3910
(503) 253-4297

Map and Direction




Provider's Profile

Full NameKatie Conklin
GenderFemale
SpecialityNurse Practitioner - Family
Location301 Ne Knott St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235546607
  • Provider Enumeration Date: 07/17/2014
  • Last Update Date: 06/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668792953
  • Enrollment ID: I20230517003579

Medical Identifiers

Medical identifiers for Katie Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235546607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 105604 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 201810182NP-PP (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Conklin allows following entities to bill medicare on her behalf.
Entity NameKnott Street Dermatology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891741864
PECOS PAC ID: 8325050859
Enrollment ID: O20060626000191

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Conklin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Conklin, ARNP
301 Ne Knott St,
Portland, OR 97212-3014

Ph: (503) 253-3910		Katie Conklin, ARNP
301 Ne Knott St,
Portland, OR 97212-3014

Ph: (503) 253-3910

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
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Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
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Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
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Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
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Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
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Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
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Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.