Kimberly Anne Liepold, NP in Gresham, OR - Medicare Nurse Practitioner

Kimberly Anne Liepold, NP is a medicare enrolled "Nurse Practitioner - Family" in Gresham, Oregon. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Meridian Park Hospital and her current practice location is 2850 Se Powell Valley Rd, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 666-5050.

Kimberly Anne Liepold is licensed to practice in Oregon (license number F12210813) 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 1962162289.

Contact Information

	Kimberly Anne Liepold, NP
	2850 Se Powell Valley Rd, Gresham, OR 97080-1494
	(503) 666-5050
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Anne Liepold
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2850 Se Powell Valley Rd, Gresham, Oregon
Accepts Medicare Assignments	Yes. 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 Anne Liepold graduated from nursing school in 2021

NPI Data:

NPI Number: 1962162289
Provider Enumeration Date: 12/28/2021
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5092109579
Enrollment ID: I20220225002067

Medical Identifiers

Medical identifiers for Kimberly Anne Liepold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962162289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F12210813 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Meridian Park Hospital	5092609842	93

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 Anne Liepold allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Legacy Meridian Park Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181

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 Anne Liepold 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 Anne Liepold, NP 1668 Se 35th Ter, Gresham, OR 97080-5123 Ph: (503) 267-7712	Kimberly Anne Liepold, NP 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 Ph: (503) 666-5050

Reviews and Comments

Nurse Practitioner Nurses in Gresham, OR

Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520
Wendy Waibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21015 Se Stark St, Gresham, OR 97030 Phone: 503-669-6120 Fax: 503-669-6163
Katie L Ketterling-thornburg, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050

Kimberly Anne Liepold, NP - Medicare Nurse Practitioner in Gresham, OR