LARISSA BIRNDORF MSW, PMHNP-BC
NPI 1073939211
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Larissa Birndorf Msw, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA BIRNDORF MSW, PMHNP-BC (NPI 1073939211) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201504586NP-PP) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larissa Birndorf Msw, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Larissa Birndorf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97006
- Reassigned Medicare billing, Oregon enrollment
- 13 clinicians in this Medicare group
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Larissa Birndorf's NPI number?
The NPI number for Larissa Birndorf is 1073939211. It was assigned to this individual provider in the NPPES registry on March 12, 2014.
Where is Larissa Birndorf located?
Larissa Birndorf practices at 2701 NW Vaughn St Ste 470, Portland, OR 97210. The listed phone number is (503) 719-4648.
What is Larissa Birndorf's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Larissa Birndorf enrolled in Medicare?
Yes. Larissa Birndorf is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Larissa Birndorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Birndorf reassigns Medicare benefits to 2 organizations: Northwest IV, LLC (Beaverton, OR) and Active Recovery Tms PLLC (Clackamas, OR). Each 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 Larissa Birndorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larissa Birndorf accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Larissa Birndorf 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 Larissa Birndorf was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Larissa Birndorf, MSW, PMHNP-BC · NPI 1073939211
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 12, 2014.
## Identity
- **NPI:** 1073939211 (Entity type: Individual)
- **Enumerated:** March 12, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201504586NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 NW VAUGHN ST STE 470, Portland, OR 97210-5326
- **Phone:** (503) 719-4648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwest IV, LLC (NPI 1811600471, Beaverton, OR); Active Recovery Tms PLLC (NPI 1881287787, Clackamas, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073939211) · Data from the CMS NPPES public registry.