MS. KINDRA THERESA SCANLON (FNP) – Registered Nurse, NPI 1154619260

MS. KINDRA THERESA SCANLON (FNP) is a healthcare provider. based in Portland, Oregon. specializing in Registered Nurse. They hold the professional credentials FNP. They hold a License No. AP61243692 (WA). The NPI Number for MS. KINDRA THERESA SCANLON (FNP) is 1154619260

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. KINDRA THERESA SCANLON (FNP)
NPI
1154619260
Phone
(503) 494-6687
Address
3303 SW BOND AVE
Enumeration Date
11 July 2011
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
2011 (15 years ago)
PAC ID
7719121193
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20130925000585
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for MS. KINDRA THERESA SCANLON (FNP)

  • 3303 SW BOND AVE

    SUITE 5

    PORTLAND, OR 972394501

    Phone: (503) 494-6687

    Type: Mailing

  • 18 NW 20th Ave

    Battle Ground, WA 986044175

    Phone: (360) 952-4457

    Fax: (360) 828-7409

    Type: Location

  • 7101 NE 137th Ave

    Vancouver, WA 986824933

    Phone: (800) 813-2000

    Type: Location

  • 18 NW 20TH AVE

    BATTLE GROUND, WA 986044175

    Phone: (360) 952-4457

    Fax: (360) 828-7409

    Type: Mailing

  • 650 N DEVINE RD STE B

    VANCOUVER, WA 986616979

    Phone: (360) 952-4457

    Fax: (360) 828-7409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: BSN Medical Inc ($72).

Total Amount

$210

General + Research + Ownership

Payments

8

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130925000585INurse PractitionerORTBD
I20220726001068INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less8225$0
99214Established patient office or other outpatient visit, 30-39 minutes7648$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880760107View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MS. KINDRA THERESA SCANLON (FNP)?
NPI 1154619260 is assigned to MS. KINDRA THERESA SCANLON (FNP) under the national enumeration system.
Is MS. KINDRA THERESA SCANLON (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MS. KINDRA THERESA SCANLON (FNP) work in?
You can think of MS. KINDRA THERESA SCANLON (FNP) as practicing within Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is MS. KINDRA THERESA SCANLON (FNP)'s primary listing?
We display Portland, Oregon because that is what the record indicates for MS. KINDRA THERESA SCANLON (FNP).
How can I contact MS. KINDRA THERESA SCANLON (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.