Katie L Ketterling-thornburg, APRN, FNP-C - Medicare Nurse Practitioner in Gresham, OR

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Katie L Ketterling-thornburg, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gresham, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Billings Clinic and her current practice location is 440 Nw Division St, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-9500.

Katie L Ketterling-thornburg is licensed to practice in Oregon (license number 10025675) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114489093.

Contact Information

Katie L Ketterling-thornburg, APRN, FNP-C
440 Nw Division St,
Gresham, OR 97030-5506
(503) 215-9500
Not Available

Map and Direction




Provider's Profile

Full NameKatie L Ketterling-thornburg
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location440 Nw Division St, Gresham, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katie L Ketterling-thornburg graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1114489093
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799016093
  • Enrollment ID: I20191017002977

Medical Identifiers

Medical identifiers for Katie L Ketterling-thornburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114489093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NUR-APRN-LIC-145742 (Montana)Secondary
363LF0000XNurse Practitioner - Family 10025675 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Billings ClinicBillings, MTHospital
Big Horn Co Memorial HospitalHardin, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Billings Clinic6002993516677

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 L Ketterling-thornburg allows following entities to bill medicare on her behalf.
Entity NameBillings Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326104845
PECOS PAC ID: 6002993516
Enrollment ID: O20080430000212
Entity NameBighorn Valley Health Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255617130
PECOS PAC ID: 8820246077
Enrollment ID: O20120913000593
Entity NameImpact Physician Group, Montana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578199311
PECOS PAC ID: 8426489741
Enrollment ID: O20200520001673

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 L Ketterling-thornburg 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 L Ketterling-thornburg, APRN, FNP-C
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Katie L Ketterling-thornburg, APRN, FNP-C
440 Nw Division St,
Gresham, OR 97030-5506

Ph: (503) 215-9500

Reviews and Comments


Nurse Practitioner Nurses in Gresham, OR

Vivian B Vargo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Ne 8th St, Gresham, OR 97030
Phone: 503-988-5155    Fax: 503-988-5185
Elana Underwood Scharff, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030
Phone: 503-674-1520    Fax: 503-674-1599
Renae Rykaczewski, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030
Phone: 530-988-5155    
Alma San Juan, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030
Phone: 503-674-1520    
Mrs. Crystal Luna, MSN, APRN-RX, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-666-5050    
Ms. Heike K. Huchler,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-666-5050    

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.