Ka'imialaimaka La Vine, PMHNP-BC in Beaverton, OR

Ka'imialaimaka La Vine, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Beaverton, Oregon. He went to University Of South Alabama College Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Clinicops Llc and his current practice location is 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 230-7007.

Ka'imialaimaka La Vine is licensed to practice in Oregon (license number 10030537) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629802632.

Contact Information

	Ka'imialaimaka La Vine, PMHNP-BC
	10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791
	(503) 230-7007
	Not Available

Map and Direction

Provider's Profile

Full Name	Ka'imialaimaka La Vine
Gender	Male
Speciality	Nurse Practitioner
Experience	1 Years
Location	10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ka'imialaimaka La Vine attended and graduated from University Of South Alabama College Of Medicine in 2024

NPI Data:

NPI Number: 1629802632
Provider Enumeration Date: 08/30/2024
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 7012442692
Enrollment ID: I20241119002931

Medical Identifiers

Medical identifiers for Ka'imialaimaka La Vine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629802632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10030537 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinicops Llc	9739343245	20

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. Ka'imialaimaka La Vine allows following entities to bill medicare on his behalf.

Entity Name	Clinicops Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275821266 PECOS PAC ID: 9739343245 Enrollment ID: O20120613000647

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. Ka'imialaimaka La Vine 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
Ka'imialaimaka La Vine, PMHNP-BC 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 Ph: (971) 238-4543	Ka'imialaimaka La Vine, PMHNP-BC 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 Ph: (503) 230-7007

Reviews and Comments

Nurse Practitioner Nurses in Beaverton, OR

Mrs. Sherry Diane Davidson, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 Phone: 503-643-0428
Corneliu Volosen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777
Patricia A. Demsky, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 248-652-5291 Fax: 248-652-5817
Dr. Kathleen Anne Roberts, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6081
Sherry L Sweeney, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy, Suite 111, Beaverton, OR 97006 Phone: 503-531-2323
Ms. Hillary L Corson, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008 Phone: 971-245-1332 Fax: 503-641-5179
Jennifer Helen Barnes, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 16100 Nw Cornell Rd, Ste 220, Beaverton, OR 97006 Phone: 503-878-8885 Fax: 971-297-1360

Ka'imialaimaka La Vine, PMHNP-BC - Medicare Nurse Practitioner in Beaverton, OR