Northwest IV LLC
A Medicare group practice based in Bend, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7214277383), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7214277383
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 1
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190327002802 | OR | Part B Supplier - Clinic/Group Practice | 1023596541 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northwest IV, LLC
- Family Nurse Practitioner
- Portland, OR
- NPI 1023596541
-
Northwest IV, LLC
- Family Nurse Practitioner
- Bend, OR
- NPI 1225619703
-
Northwest IV, LLC
- Family Nurse Practitioner
- Beaverton, OR
- NPI 1811600471
Practice locations
- Portland, OR1
- Beaverton, OR1
- Bend, OR1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (10).
-
Larissa Birndorf, MSW, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1073939211
-
Yana I Bojilova Norman, FNP
- Family Nurse Practitioner
- Portland, OR
- NPI 1649582610
-
Brandon Bosch, PMHNP, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1902203367
-
Jennifer Erin Bray, F.N.P.
- Family Nurse Practitioner
- Portland, OR
- NPI 1407868805
-
Jill Ann Carter, DNP, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1700211513
-
Shawn Michael Deremer, M.D.
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1518994565
-
Laurel Plahuta Ewing, APN-CFNP
- Family Nurse Practitioner
- Wilsonville, OR
- NPI 1952528895
-
Guadalupe Clementina Gabba, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1063701126
-
Heather L Knott, DO
- Psychiatry Physician
- Clackamas, OR
- NPI 1194900084
-
Keith G Lowenstein, MD
- Psychiatry Physician
- Portland, OR
- NPI 1679749980
-
Maryellen Parker, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
- NPI 1861742025
-
Suzanne Kristen Puryear, DNP-FNP
- Family Nurse Practitioner
- Bend, OR
- NPI 1215607890
-
Sarah Joy Taylor, FNP
- Family Nurse Practitioner
- Portland, OR
- NPI 1669005997
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.