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LARISSA BIRNDORF MSW, PMHNP-BC
NPI 1073939211
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 12, 2014PECOS Enrolled
2701 NW VAUGHN ST STE 470, PORTLAND, OR 97210(503) 719-4648 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jul 21, 2022, May 8, 2020 and 2 more (5 updates tracked since 2018).

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

NPI1073939211
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLARISSA BIRNDORFCredential: MSW, PMHNP-BC
Location Address2701 NW VAUGHN ST STE 470Portland, OR 97210-5326
Mailing Address2873 Nw Raleigh StPortland, OR 97210-2464 · (503) 679-7824
Phone(503) 719-4648
Sole ProprietorNo
Enumeration DateMarch 12, 2014
Last NPPES UpdateSeptember 6, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1073939211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201504586NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201393260RN (OR)
2701 NW VAUGHN ST STE 470, Portland, OR 97210
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12828 SW Kelly Ave Ste 6-196Portland, OR 97201-4809 · Phone (503) 477-7878 · Fax (888) 765-0392
Location 22029 SE Jefferson St Ste 105Milwaukie, OR 97222-7605 · Phone (503) 664-4127
Location 319075 NW Tanasbourne DrHillsboro, OR 97124-5860 · Phone (844) 966-6777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Birndorf Msw, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ACTIVE RECOVERY TMS PLLC
Psychiatry & Neurology (Psychiatry)
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (206) 210-1198
AUDREY ELIZABETH SPEICHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (503) 832-4861
MASON D SPONG PA-C
Physician Assistant
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210
Multnomah County (503) 751-2216

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.

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 2 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.