KELLY SHERIDAN WRIGHT (MD) – Internal Medicine Physician, NPI 1407083215

KELLY SHERIDAN WRIGHT (MD) is a healthcare provider. based in Cornelius, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD19283 (ME). The NPI Number for KELLY SHERIDAN WRIGHT (MD) is 1407083215

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SHERIDAN WRIGHT (MD)
NPI
1407083215
Phone
(503) 359-5564
Address
PO BOX 568
Enumeration Date
18 June 2009
Last Update Date
24 May 2019

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5035959300
Graduation Year
2009 (17 years ago)
PAC ID
1951550441
Group Practice PAC ID
3274526868
Professional Enrollment ID
I20141205001523
Address ID
OR972027102PO8332XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for KELLY SHERIDAN WRIGHT (MD)

  • PO BOX 568

    CORNELIUS, OR 971130568

    Phone: (503) 359-5564

    Fax: (503) 357-4371

    Type: Mailing

  • Sellwood Medical Clinic, 8332, Southeast 13th Avenue, Sellwood, Sellwood-Moreland, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, OR 972027102

    Phone: (503) 595-9300

    Type: Location

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: 2014-12-05

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
I20141205001523IInternal MedicineORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6742$0
99213Established patient office or other outpatient visit, 20-29 minutes5435$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
81003Automated urinalysis test1711$0
G0008Administration of influenza virus vaccine1717$0
View full utilization report →

Insurance plans in this area (ZIP 97113)

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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: 3274526868View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerOR
Nurse PractitionerOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Physician AssistantOR

Reviews

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Frequently asked questions

Can I verify KELLY SHERIDAN WRIGHT (MD) with an NPI only?
You can start verification with NPI 1407083215 for KELLY SHERIDAN WRIGHT (MD), then check state licensing separately.
Does CMS list KELLY SHERIDAN WRIGHT (MD) as active?
Yes — KELLY SHERIDAN WRIGHT (MD) is active in the NPI listing used on this page.
What taxonomy line describes KELLY SHERIDAN WRIGHT (MD)?
For research purposes, treat KELLY SHERIDAN WRIGHT (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KELLY SHERIDAN WRIGHT (MD) list a practice location?
Patients near Cornelius, Oregon may find KELLY SHERIDAN WRIGHT (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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