Kimberly Nicole Guadalupe, CNM in Portland, OR - Medicare Certified Nurse Midwife (cnm)

Kimberly Nicole Guadalupe, CNM is a medicare enrolled "Advanced Practice Midwife" in Portland, Oregon. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Oregon Clinic Pc and her current practice location is 501 N Graham St Ste 550, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 284-5220.

Kimberly Nicole Guadalupe is licensed to practice in Oregon (license number 201809755NP-PP) 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 1558833921.

Contact Information

	Kimberly Nicole Guadalupe, CNM
	501 N Graham St Ste 550, Portland, OR 97227-2010
	(503) 284-5220
	(503) 284-4971

Map and Direction

Provider's Profile

Full Name	Kimberly Nicole Guadalupe
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	6 Years
Location	501 N Graham St Ste 550, Portland, 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 Nicole Guadalupe graduated from nursing school in 2018

NPI Data:

NPI Number: 1558833921
Provider Enumeration Date: 12/26/2018
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5092116871
Enrollment ID: I20210630002951

Medical Identifiers

Medical identifiers for Kimberly Nicole Guadalupe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558833921	NPI	-	NPPES
500758570	Medicaid	OR
2119698	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	201809755NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Clinic Pc	2860390408	319

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 Nicole Guadalupe allows following entities to bill medicare on her behalf.

Entity Name	Oregon Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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 Nicole Guadalupe 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 Nicole Guadalupe, CNM 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Kimberly Nicole Guadalupe, CNM 501 N Graham St Ste 550, Portland, OR 97227-2010 Ph: (503) 284-5220

Reviews and Comments

Advanced Practice Midwife Nurses in Portland, OR

Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500
Elise N Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225 Phone: 503-216-2602
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591
Polly C Molden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4500 Fax: 503-494-1678
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725
Ms. Barbara O'malley Floyd, CNM, NMNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3231 Se 50th Ave, Portland, OR 97206 Phone: 503-775-4931 Fax: 503-788-7285

Kimberly Nicole Guadalupe, CNM - Medicare Certified Nurse Midwife (cnm) in Portland, OR