NORTHWEST IV, LLC
NPI 1023596541
Nurse Practitioner - Family in Portland, OR
About Northwest Iv, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST IV, LLC (NPI 1023596541), doing business as Evolve Health, is a healthcare organization registered as a family in Portland, Oregon and active in the NPI registry since August 2018. The organization lists John Perry, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Iv, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Northwest IV, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Northwest IV, LLC's NPI number?
The NPI number for Northwest IV, LLC is 1023596541. It was assigned to this organization in the NPPES registry on August 6, 2018. The provider is doing business as Evolve Health.
Where is Northwest IV, LLC located?
Northwest IV, LLC is located at 6400 SE Lake Rd Ste 155, Portland, OR 97222. The listed phone number is (503) 447-3285.
What is Northwest IV, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Northwest IV, LLC enrolled in Medicare?
Yes. Northwest IV, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest IV, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Northwest IV, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Psychiatry (2) and Anesthesiology (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northwest IV, LLC accept?
Health plans from Moda Health Plan, Inc. list Northwest IV, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Northwest IV, LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northwest Iv, Llc · NPI 1023596541
Family organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since August 6, 2018.
## Identity
- **NPI:** 1023596541 (Entity type: Organization)
- **Enumerated:** August 6, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Evolve Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Perry, MANAGING DIRECTOR
## Practice location
- **Address:** 6400 SE LAKE RD STE 155, Portland, OR 97222-2137
- **Phone:** (503) 447-3285 · **Fax:** (503) 917-4971
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Psychiatry (2), Anesthesiology (1); 4 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023596541) · Data from the CMS NPPES public registry.