KATHLEEN PATRICIA KERWAN (FNP-C) – Family Nurse Practitioner, NPI 1902835838
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
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Provider Addresses for KATHLEEN PATRICIA KERWAN (FNP-C)
11145 SW MEADOWBROOK DR APT 5
TIGARD, OR 972243349
Phone: (503) 780-3294
Type: Mailing
Clackamas County Veterans Services, 2051, Kaen Road, Mount Pleasant, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
SUITE 367
OREGON CITY, OR 970454035
Phone: (503) 742-5300
Fax: (503) 742-5301
Type: Mailing
1425, Beavercreek Road, Mount Pleasant, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
OREGON CITY, OR 970454076
Phone: (503) 655-8471
Fax: (503) 655-8374
Type: Location
7150 SW HAMPTON ST STE 200
TIGARD, OR 972238378
Phone: (503) 482-4600
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: 2025-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090921000292 | I | Nurse Practitioner | OR | TBD |
| I20250627000878 | I | Nurse Practitioner | WA | TBD |
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.
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 97224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | TX | |
| - | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | GA | |
| - | MN | |
| Physician Assistant | OR | |
| Physician Assistant | CA |
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