Ms Kimberly Susan Shotz, WHCNP, LAC in Portland, OR

Ms Kimberly Susan Shotz, WHCNP, LAC is a medicare enrolled "Nurse Practitioner - Women's Health" in Portland, Oregon. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Project Quest and her current practice location is 736 Se 60th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 645-4009.

Ms Kimberly Susan Shotz is licensed to practice in Oregon (license number OR 093006979N7) 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 1003908120.

Contact Information

	Ms Kimberly Susan Shotz, WHCNP, LAC
	736 Se 60th Ave, Portland, OR 97215-1906
	(971) 645-4009
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kimberly Susan Shotz
Gender	Female
Speciality	Nurse Practitioner
Experience	29 Years
Location	736 Se 60th Ave, 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:

Ms Kimberly Susan Shotz graduated from nursing school in 1997

NPI Data:

NPI Number: 1003908120
Provider Enumeration Date: 09/28/2006
Last Update Date: 05/05/2026

Medicare PECOS Information:

PECOS PAC ID: 3274658042
Enrollment ID: I20100916000798

Medical Identifiers

Medical identifiers for Ms Kimberly Susan Shotz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003908120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	OR 093006979N7 (Oregon)	Primary
171100000X	Acupuncturist	AC156829 (Oregon)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Project Quest	3971490970	8

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. Ms Kimberly Susan Shotz allows following entities to bill medicare on her behalf.

Entity Name	The 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. Ms Kimberly Susan Shotz 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
Ms Kimberly Susan Shotz, WHCNP, LAC 736 Se 60th Ave, Portland, OR 97215-1906 Ph: (503) 318-3352	Ms Kimberly Susan Shotz, WHCNP, LAC 736 Se 60th Ave, Portland, OR 97215-1906 Ph: (971) 645-4009

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Ms Kimberly Susan Shotz, WHCNP, LAC - Medicare Nurse Practitioner in Portland, OR