ADVENTIST HEALTH TILLAMOOK MEDICAL GROUP - BANKS
NPI 1043740616
Clinic/Center - Rural Health in Banks, OR
About Adventist Health Tillamook Medical Group - Banks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTIST HEALTH TILLAMOOK MEDICAL GROUP - BANKS (NPI 1043740616) is a healthcare organization registered as a rural health in Banks, Oregon and active in the NPI registry since June 2017. The organization lists Micah Smith, Fo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adventist Health Tillamook Medical Group - Banks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
204Medicare enrollment records show 204 clinicians reassign Medicare billing to Adventist Health Tillamook Medical Group - Banks, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 204Source: 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 Medical Foundation Of Tillamook's NPI number?
The NPI number for Northwest Medical Foundation Of Tillamook is 1043740616. It was assigned to this organization in the NPPES registry on June 15, 2017. The provider is doing business as Adventist Health Tillamook Medical Group - Banks.
Where is Northwest Medical Foundation Of Tillamook located?
Northwest Medical Foundation Of Tillamook is located at 12350 NW Main St Ste 112, Banks, OR 97106. The listed phone number is (503) 842-4444.
What is Northwest Medical Foundation Of Tillamook's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Northwest Medical Foundation Of Tillamook enrolled in Medicare?
Yes. Northwest Medical Foundation Of Tillamook is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Medical Foundation Of Tillamook?
According to the CMS Revalidation Reassignment List (October 2026 release), 204 clinicians in 22 Medicare specialties reassign their Medicare billing to Northwest Medical Foundation Of Tillamook. 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 (33), Emergency Medicine (30) and Family Practice (26). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northwest Medical Foundation Of Tillamook was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Adventist Health Tillamook Medical Group - Banks · NPI 1043740616
Rural Health organization in Banks, Oregon. Organization record, active in the CMS NPPES registry since June 15, 2017.
## Identity
- **NPI:** 1043740616 (Entity type: Organization)
- **Enumerated:** June 15, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Northwest Medical Foundation Of Tillamook
- **Organization subpart:** Yes (part of Northwest Medical Foundation Of Tillamook)
- **Authorized official:** Micah Smith, FO
## Practice location
- **Address:** 12350 NW MAIN ST STE 112, Banks, OR 97106-9045
- **Phone:** (503) 842-4444 · **Fax:** (503) 815-2330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 204 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Emergency Medicine (30), Family Practice (26); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1043740616/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043740616) · Data from the CMS NPPES public registry.