Kimberly K Rodda, FNP-BC - Medicare Nurse Practitioner in Happy Valley, OR

Kimberly K Rodda, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Happy Valley, Oregon. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 16180 Se Sunnyside Rd, Suite 102, Happy Valley, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 582-4900.

Kimberly K Rodda is licensed to practice in Oregon (license number 200550088NP FNPPP) 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 1528054384.

Contact Information

Kimberly K Rodda, FNP-BC
16180 Se Sunnyside Rd, Suite 102,
Happy Valley, OR 97015-6301
(503) 582-4900
Not Available

Map and Direction




Provider's Profile

Full NameKimberly K Rodda
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location16180 Se Sunnyside Rd, Happy Valley, 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:
  • Kimberly K Rodda graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1528054384
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 10/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7618070707
  • Enrollment ID: I20070309000398

Medical Identifiers

Medical identifiers for Kimberly K Rodda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528054384NPI-NPPES
278678MedicaidOR
P00881768OtherORRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 200550088NP FNPPP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Seaside HospitalSeaside, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon155726010685

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. Kimberly K Rodda allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768

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. Kimberly K Rodda 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
Kimberly K Rodda, FNP-BC
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Kimberly K Rodda, FNP-BC
16180 Se Sunnyside Rd, Suite 102,
Happy Valley, OR 97015-6301

Ph: (503) 582-4900

Reviews and Comments


Nurse Practitioner Nurses in Happy Valley, OR

Graham A Phelps, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015
Phone: 503-582-4900    
Megan Bruce, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086
Phone: 503-659-4988    Fax: 503-698-4018
Anup Mammen Varghese, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9300 Se 91st Ave Ste 400, Happy Valley, OR 97086
Phone: 503-775-6500    
Kristi Keats, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Se Sunnyside Rd, Happy Valley, OR 97015
Phone: 888-227-3312    
Mary Kathleen Easton, PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 10131 Se Palatial Ct, Happy Valley, OR 97086
Phone: 503-786-4060    Fax: 503-652-6972
Edward Joseph Drew, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086
Phone: 503-722-6200    Fax: 503-722-6545

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.