KELLY C YAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255965166

KELLY C YAN (PMHNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. 202006258NP-PP (OR). The NPI Number for KELLY C YAN (PMHNP-BC) is 1255965166

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLY C YAN (PMHNP-BC)
NPI
1255965166
Phone
(503) 972-0235
Address
1427 NW FLANDERS ST STE A
Enumeration Date
29 February 2020
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8669720235
Graduation Year
2020 (6 years ago)
PAC ID
6406271774
Group Practice PAC ID
9739343245
Professional Enrollment ID
I20200803003420
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for KELLY C YAN (PMHNP-BC)

  • 1427 NW FLANDERS ST STE A

    PORTLAND, OR 972092646

    Phone: (503) 972-0235

    Type: Mailing

  • 1020 SW TAYLOR ST. SUITE 448

    PORTLAND, OR 972052509

    Phone: (971) 300-4254

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97209)

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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: 9739343245View full group profile
NameSpecialtyState
Nurse PractitionerOR
Internal Medicine, Family PracticeOR
Nurse PractitionerOR
Nurse PractitionerMN
Mental Health CounselorOR
Nurse PractitionerOR
Nurse PractitionerIN
Nurse PractitionerOR
Clinical Social WorkerMI
Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I cross-check KELLY C YAN (PMHNP-BC) using NPI 1255965166?
NPI 1255965166 belongs to KELLY C YAN (PMHNP-BC); compare other details if you need extra assurance.
Is there an active status for KELLY C YAN (PMHNP-BC)?
For scheduling context, KELLY C YAN (PMHNP-BC) is shown as active in the registry.
What expertise is attributed to KELLY C YAN (PMHNP-BC)?
KELLY C YAN (PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLY C YAN (PMHNP-BC) located near Portland?
KELLY C YAN (PMHNP-BC) currently maps to Portland, Oregon in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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