Kimberly A. Ceccarelli, NP
NPI 1609655521ActiveIndividual· Nurse Practitioner, Gerontology· Portland, OR
Nurse Practitioner, Gerontology (NP) with Providence Health and Services Oregon, practicing in Portland, Oregon. Their prescriptions cost Medicare Part D more than their services did: $67,303 for 1,011 claims, against $14,498 paid for services in 2024. Lists Providence Newberg Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1609655521 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Sep 28, 2023 |
| Last updated in NPPES | Apr 19, 2024 |
| Certified by provider | Apr 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 10016529 | OR |
| Nurse Practitioner | 363L00000X | 10016529 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 163 |
|---|---|
| Services billed | 316 across 26 procedure codes |
| Paid by Medicare | $14,498 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,011 · 2,043 30-day fills |
|---|---|
| Patients | 414 |
| Total drug cost | $67,303 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
Hospital affiliations
- Providence Newberg Medical CenterNewberg, OR
- Providence Portland Medical CenterPortland, OR
- Providence St Vincent Medical CenterPortland, OR
- Providence Willamette Falls Medical CenterOregon City, OR
Other facilities
- Providence Home HealthHome health agency · Portland, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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