Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Kusmaul, APRN-PMHNP

Individual provider Registered Nurse · NPI 1518627645

Katherine Kusmaul, APRN-PMHNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Larsen Sanchez Psychology LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
3
Licensed in
OR, WA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

905 SE 14th Ave
Portland, OR 97214-2569
Phone: (503) 622-8964
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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 10018655 (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN61385886 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1518627645
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-PMHNP
Sole proprietorNo
NPI enumeratedDecember 30, 2021
Last updated in NPPESNovember 14, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Larsen Sanchez Psychology Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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