Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacy L Herbst, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053106039

Kacy L Herbst, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2025, 1 year ago. Practices with Bridge City Family Medical Clinic PC, a 7-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1410 NE 106th Ave
Portland, OR 97220-3934
Phone: (503) 460-0405
Fax: (503) 460-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10043172 (OR)

Record details

NPI number1053106039
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bridge City Family Medical Clinic Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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