DR. KELLY WITBECK (DNP, ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366812380
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KELLY WITBECK (DNP, ARNP)
833 SW 11TH AVE STE 915
PORTLAND, OR 972052123
Phone: (971) 366-2315
Fax: (360) 245-9181
Type: Location
1235 STONEHEDGE TRAIL LN
SAINT AUGUSTINE, FL 320921061
Phone: (904) 294-8050
Type: Mailing
101 Mill St Ste 200D
Ridgefield, WA 986424529
Phone: (360) 615-2780
Fax: (360) 245-9181
Type: Location
PO BOX 3229
PORTLAND, OR 972083229
Phone: (855) 229-6460
Type: Mailing
4400 NE HALSEY ST BLDG 23
PORTLAND, OR 972131545
Phone: (855) 229-6460
Fax: (503) 893-6847
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ALK-Abello, Inc ($105).
Total Amount
$188
General + Research + Ownership
Payments
2
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ALK-Abello, Inc | $105 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $84 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 97205)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | OR | |
| Physician Assistant | NV | |
| - | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| - | OR | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.