Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Kathryn Mundstock, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1679041115

Kendra Kathryn Mundstock, AGACNP-BC is a Nurse Practitioner in Clackamas, Oregon. Qualified in 2018, 8 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
8
Licensed in
OR, TN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 939-7191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3181 Sw Sam Jackson Park Rd # 13k, Portland, OR 97239-3011 — (503) 494-8311
  • 1211 Medical Center Dr, Nashville, TN 37232-0004 — (615) 322-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201905528NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 25041 (TN)

Record details

NPI number1679041115
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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