Teresa Burnelle Keirns, RN, CNM in Portland, OR - Medicare Advanced Practice Midwife

Teresa Burnelle Keirns, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Portland, Oregon. Her current practice location is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (888) 875-7820.

Teresa Burnelle Keirns is licensed to practice in Oregon (license number 201601564NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114231016.

Contact Information

	Teresa Burnelle Keirns, RN, CNM
	3727 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1112
	(888) 875-7820
	Not Available

Map and Direction

Provider's Profile

Full Name	Teresa Burnelle Keirns
Gender	Female
Speciality	Advanced Practice Midwife
Location	3727 Ne Martin Luther King Jr Blvd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114231016
Provider Enumeration Date: 08/03/2010
Last Update Date: 09/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6608061288
Enrollment ID: I20190218002236

Medical Identifiers

Medical identifiers for Teresa Burnelle Keirns such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114231016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	1904 (California)	Secondary
163W00000X	Registered Nurse	730310 (California)	Secondary
367A00000X	Advanced Practice Midwife	201601564NP-PP (Oregon)	Primary
176B00000X	Midwife	AP60670307 (Washington)	Secondary

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. Teresa Burnelle Keirns allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Teresa Burnelle Keirns 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
Teresa Burnelle Keirns, RN, CNM 4750 Se Robin Rd, Milwaukie, OR 97267-3121 Ph: (401) 225-6167	Teresa Burnelle Keirns, RN, CNM 3727 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1112 Ph: (888) 875-7820

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
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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
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534
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

Teresa Burnelle Keirns, RN, CNM - Medicare Advanced Practice Midwife in Portland, OR