Kimberly Starr Waldrep, FNPC in Portland, OR - Medicare Nurse Practitioner

Kimberly Starr Waldrep, FNPC is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 1804 Se Spokane St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 997-9152.

Kimberly Starr Waldrep is licensed to practice in Oregon (license number 201500630NP-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 1538408844.

Contact Information

	Kimberly Starr Waldrep, FNPC
	1804 Se Spokane St, Portland, OR 97202-6742
	(503) 997-9152
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Starr Waldrep
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1804 Se Spokane St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538408844
Provider Enumeration Date: 02/06/2013
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2264743277
Enrollment ID: I20171031002919

Medical Identifiers

Medical identifiers for Kimberly Starr Waldrep such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538408844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201500630NP-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. Kimberly Starr Waldrep allows following entities to bill medicare on her behalf.

Entity Name	Hudson's Bay Medical Group, Inc., P.s
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942204664 PECOS PAC ID: 7214825629 Enrollment ID: O20040308000898

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 Starr Waldrep 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 Address	Practice Location Address
Kimberly Starr Waldrep, FNPC 728 Molalla Ave, Oregon City, OR 97045-2799 Ph: (503) 656-9030	Kimberly Starr Waldrep, FNPC 1804 Se Spokane St, Portland, OR 97202-6742 Ph: (503) 997-9152

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Kimberly Starr Waldrep, FNPC - Medicare Nurse Practitioner in Portland, OR