MELISSA JEAN KIDBY (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124427950
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MELISSA JEAN KIDBY (NP)
701 NE 136th Ave
Vancouver, WA 986846937
Phone: (541) 295-5172
Fax: (866) 868-4840
Type: Location
PO BOX 159
WARRENTON, OR 971460159
Phone: (971) 368-1980
Fax: (541) 550-2908
Type: Mailing
12999 S MACDONALDS PL
OREGON CITY, OR 970457529
Phone: (541) 295-5172
Fax: (971) 362-4818
Type: Location
312 OAK ST
STE 205
CENTRAL POINT, OR 975022542
Phone: (541) 525-0779
Fax: (866) 868-4840
Type: Mailing
18357 ANDY HILL RD
LAKEVIEW, OR 976309092
Phone: (541) 525-0779
Fax: (866) 868-4840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ITI, Inc. ($49).
Total Amount
$95
General + Research + Ownership
Payments
3
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $49 |
| Axsome Therapeutics, Inc. | $28 |
| ABBVIE INC. | $18 |
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: 2020-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200302002196 | I | Nurse Practitioner | OR | 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 98684)
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