Kemble Green, NP - Medicare Nurse Practitioner in Clackamas, OR

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Kemble Green, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Clackamas, Oregon. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Daiya Healthcare Pllc, Peacehealth Medical Group, Daiya Healthcare Pllc, Daiya Healthcare Pllc, Daiya Healthcare Pllc and her current practice location is 10365 Se Sunnyside Rd Ste 340, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 579-2800.

Kemble Green is licensed to practice in Oregon (license number 201600268NP-PP) 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 1205292703.

Contact Information

Kemble Green, NP
10365 Se Sunnyside Rd Ste 340,
Clackamas, OR 97015-5751
(541) 579-2800
Not Available

Map and Direction




Provider's Profile

Full NameKemble Green
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location10365 Se Sunnyside Rd Ste 340, Clackamas, 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:
  • Kemble Green graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1205292703
  • Provider Enumeration Date: 01/13/2016
  • Last Update Date: 05/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597062398
  • Enrollment ID: I20160322001731

Medical Identifiers

Medical identifiers for Kemble Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205292703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201600267RN (Oregon)Secondary
363LG0600XNurse Practitioner - Gerontology 201600268NP-PP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sacred Heart Medical Center - RiverbendSpringfield, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Daiya Healthcare Pllc600215861597
Peacehealth Medical Group9032023270214
Daiya Healthcare Pllc600215861597
Daiya Healthcare Pllc600215861597
Daiya Healthcare Pllc600215861597

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. Kemble Green allows following entities to bill medicare on her behalf.
Entity NamePeacehealth Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740223874
PECOS PAC ID: 8527016039
Enrollment ID: O20050111000353
Entity NameCrm Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952674996
PECOS PAC ID: 3678720729
Enrollment ID: O20120824000811
Entity NameGaps Health Or Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285279042
PECOS PAC ID: 2264868546
Enrollment ID: O20200204003064
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200309000992
Entity NameGo Gently Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891397931
PECOS PAC ID: 9931510187
Enrollment ID: O20201119002756
Entity NameBristol Advanced Illness Management - Oregon Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083364749
PECOS PAC ID: 9335526060
Enrollment ID: O20220518000244

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. Kemble Green 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
Kemble Green, NP
1077 Gateway Loop,
Springfield, OR 97477-1114

Ph: (423) 335-0929		Kemble Green, NP
10365 Se Sunnyside Rd Ste 340,
Clackamas, OR 97015-5751

Ph: (541) 579-2800

Reviews and Comments


Nurse Practitioner Nurses in Clackamas, OR

Ms. Nancy Novig, CRNA, MS
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-3860    
Sharon F Maxey, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Trisha Mendoza Lopez, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-2000    
Jennifer K.w. Ching, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-786-8435    
Ms. Sunny Elizabeth St. Germain, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015
Phone: 503-659-1694    Fax: 503-659-8984
Amanda Ankeny, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015
Phone: 503-659-1694    
Mrs. Kelcey Chilcott, PNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015
Phone: 503-659-1694    

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.