Mrs Kori Lynn Anderson, FNP - Medicare Nurse Practitioner in Portland, OR

Mrs Kori Lynn Anderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. She graduated from nursing school in 2008 and has 16 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 4340 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-1444.

Mrs Kori Lynn Anderson is licensed to practice in Oregon (license number 200950022NP) 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 1043479389.

Contact Information

Mrs Kori Lynn Anderson, FNP
4340 N Interstate Ave,
Portland, OR 97217-3211
(503) 215-1444
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kori Lynn Anderson
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location4340 N Interstate Ave, Portland, 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:
  • Mrs Kori Lynn Anderson graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1043479389
  • Provider Enumeration Date: 06/02/2008
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709936180
  • Enrollment ID: I20090604000614

Medical Identifiers

Medical identifiers for Mrs Kori Lynn Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043479389NPI-NPPES
500612457MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 200950022NP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344

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. Mrs Kori Lynn Anderson 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 NameBridge City Family Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548330715
PECOS PAC ID: 7810988292
Enrollment ID: O20040524000631

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. Mrs Kori Lynn Anderson 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
Mrs Kori Lynn Anderson, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Mrs Kori Lynn Anderson, FNP
4340 N Interstate Ave,
Portland, OR 97217-3211

Ph: (503) 215-1444

Reviews and Comments


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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).

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