KRISTIN KATHLEEN MAUER (PA C) – Surgical Physician Assistant, NPI 1568650828

KRISTIN KATHLEEN MAUER (PA C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 011967 (NY). The NPI Number for KRISTIN KATHLEEN MAUER (PA C) is 1568650828

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN KATHLEEN MAUER (PA C)
NPI
1568650828
Phone
(503) 963-2801
Address
847 NE 19TH AVE
Enumeration Date
11 October 2007
Last Update Date
15 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037711883
Graduation Year
2007 (19 years ago)
PAC ID
9537219613
Group Practice PAC ID
0446208763
Professional Enrollment ID
I20100517000644
Address ID
OR972092601PO140XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for KRISTIN KATHLEEN MAUER (PA C)

  • Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    SUITE 300

    PORTLAND, OR 972322684

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Offices of Dr. Todd A. Kuether, MD, 19250, Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States

    SUITE 235

    TUALATIN, OR 970627452

    Phone: (503) 692-4820

    Fax: (503) 612-0793

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($27).

Total Amount

$115

General + Research + Ownership

Payments

5

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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: 2010-05-17

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
I20100517000644IPhysician AssistantORTBD

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 97232)

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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: 0446208763View full group profile
NameSpecialtyState
-NM
-OR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

What NPI should I save for KRISTIN KATHLEEN MAUER (PA C)?
Save NPI 1568650828 if you need a stable reference for KRISTIN KATHLEEN MAUER (PA C).
Is KRISTIN KATHLEEN MAUER (PA C) currently active in the NPI registry?
CMS-published data lists KRISTIN KATHLEEN MAUER (PA C) as an active registrant.
What field does KRISTIN KATHLEEN MAUER (PA C) work in?
You can think of KRISTIN KATHLEEN MAUER (PA C) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KRISTIN KATHLEEN MAUER (PA C)'s primary listing?
We display Portland, Oregon because that is what the record indicates for KRISTIN KATHLEEN MAUER (PA C).
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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