ANGELYNN KITZEROW – Critical Care Medicine Nurse Practitioner, NPI 1629528278

ANGELYNN KITZEROW is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 201607732NP-PP (OR). The NPI Number for ANGELYNN KITZEROW is 1629528278

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANGELYNN KITZEROW
NPI
1629528278
Phone
(312) 933-4488
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
6 October 2016
Last Update Date
6 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
2016 (10 years ago)
PAC ID
9830479427
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20161219001124
Address ID
OR972394501PO3303XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

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Provider Addresses for ANGELYNN KITZEROW

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (312) 933-4488

    Type: Mailing

  • 1287, Arguello Boulevard, Cole Valley, San Francisco, California, 94122, United States

    SAN FRANCISCO, CA 941222755

    Phone: (312) 933-4488

    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: 2016-12-19

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
I20161219001124INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes6564$0
99443Telephone medical discussion with physician, 21-30 minutes5353$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ANGELYNN KITZEROW's NPI?
Yes. ANGELYNN KITZEROW is listed with NPI 1629528278 in the public NPI dataset.
Can I rely on ANGELYNN KITZEROW being an active provider?
As of the registry snapshot, ANGELYNN KITZEROW is marked active.
What healthcare role does ANGELYNN KITZEROW hold?
Scheduling teams often label ANGELYNN KITZEROW under Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect ANGELYNN KITZEROW on a map?
Expect Portland, Oregon as a primary anchor for ANGELYNN KITZEROW unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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