Kristie Lynn Mitchell, FNP - Medicare Nurse Practitioner in Portland, OR

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Kristie Lynn Mitchell, FNP is a medicare enrolled "Nurse Practitioner" physician in Portland, Oregon. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon, Grant County Public Hospital District No. 3 and her current practice location is 1675 Sw Marlow Ave Ste 202, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 430-1777.

Kristie Lynn Mitchell is licensed to practice in Washington (license number AP60787604) 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 1457876633.

Contact Information

Kristie Lynn Mitchell, FNP
1675 Sw Marlow Ave Ste 202,
Portland, OR 97225-5102
(503) 430-1777
(503) 372-5119

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Physician's Profile

Full NameKristie Lynn Mitchell
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1675 Sw Marlow Ave Ste 202, 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:
  • Kristie Lynn Mitchell graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1457876633
  • Provider Enumeration Date: 08/08/2017
  • Last Update Date: 09/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395847602
  • Enrollment ID: I20170913003787

Medical Identifiers

Medical identifiers for Kristie Lynn Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457876633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 201706323NP-PP (Oregon)Secondary
363L00000XNurse Practitioner AP60787604 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Columbia Basin HospitalEphrata, WAHospital
Providence Hood River Memorial HospitalHood river, ORHospital
Othello Community HospitalOthello, WAHospital
Hood River Care CenterHood river, ORNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon731585601069
Grant County Public Hospital District No. 3670977516620

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. Kristie Lynn Mitchell allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330
Entity NameCrm Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952674996
PECOS PAC ID: 3678720729
Enrollment ID: O20120824000811
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200309000992

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. Kristie Lynn Mitchell 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
Kristie Lynn Mitchell, FNP
537 Nina Ln,
Hood River, OR 97031-8715

Ph: (503) 789-7021		Kristie Lynn Mitchell, FNP
1675 Sw Marlow Ave Ste 202,
Portland, OR 97225-5102

Ph: (503) 430-1777

Reviews and Comments



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.