KENDRA LYNN FLORES (WHNP) – Women's Health Nurse Practitioner, NPI 1265004204

KENDRA LYNN FLORES (WHNP) is a healthcare provider. based in Tualatin, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP. They hold a License No. 202108495NP-PP (OR). The NPI Number for KENDRA LYNN FLORES (WHNP) is 1265004204

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA LYNN FLORES (WHNP)
NPI
1265004204
Phone
(503) 855-1600
Address
19250 SW 65th Ave Ste 325
Enumeration Date
10 July 2021
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037343535
Graduation Year
2021 (5 years ago)
PAC ID
5597153601
Group Practice PAC ID
8527054014
Professional Enrollment ID
I20211022000246
Address ID
OR972256689PO9701XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for KENDRA LYNN FLORES (WHNP)

  • 19250 SW 65th Ave Ste 325

    Tualatin, OR 970627452

    Phone: (503) 855-1600

    Fax: (503) 855-1609

    Type: Location

  • 7650 SW BEVELAND RD STE 200

    PORTLAND, OR 972238692

    Phone: (503) 601-3615

    Fax: (503) 646-1683

    Type: Mailing

  • 9701 SW BARNES RD STE 150

    PORTLAND, OR 972256689

    Phone: (503) 734-3535

    Fax: (503) 734-3530

    Type: Location

  • 800 SW 13TH AVE

    PORTLAND, OR 972051902

    Phone:

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20211022000246INurse PractitionerORTBD

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.

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

Insurance plans in this area (ZIP 97062)

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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: 8527054014View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YOH
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YUT
-OR
Certified Nurse Midwife (Cnm)TN
-OR

Reviews

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Frequently asked questions

What NPI should I save for KENDRA LYNN FLORES (WHNP)?
Save NPI 1265004204 if you need a stable reference for KENDRA LYNN FLORES (WHNP).
Does this profile mean KENDRA LYNN FLORES (WHNP) is currently active?
Yes — KENDRA LYNN FLORES (WHNP) appears active in the national provider directory.
What kind of provider is KENDRA LYNN FLORES (WHNP)?
The page reflects Women's Health Nurse Practitioner for KENDRA LYNN FLORES (WHNP). Clinical services aligned with this taxonomy classification.
Does KENDRA LYNN FLORES (WHNP) practice in Oregon?
You will see Tualatin, Oregon on file for KENDRA LYNN FLORES (WHNP) alongside any extra practice locations.
Is KENDRA LYNN FLORES (WHNP) a real provider?
This page reflects official NPPES data for NPI 1265004204. Always confirm identity and privileges with the practice and licensing boards.

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