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DR. LUIS FERNANDO CARRILLO FNP
NPI 1083617658
Nurse Practitioner - Family in Portland, OR

Active since May 27, 2005PECOS Enrolled
6538 N KERBY AVE, PORTLAND, OR 97217(503) 283-8351 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luis Fernando Carrillo Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS FERNANDO CARRILLO FNP (NPI 1083617658) is an individual family provider in Portland, Oregon, licensed in Oregon (200550017NP) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083617658
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LUIS FERNANDO CARRILLOCredential: FNP
Location Address6538 N KERBY AVEPortland, OR 97217-1939
Mailing Address6538 N Kerby AvePortland, OR 97217-1939 · (503) 283-8351
Phone(503) 283-8351
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1083617658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 200550017NP
6538 N KERBY AVE, Portland, OR 97217
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Other Names 1

Professional Name (2)Dr. Fernando Carrillo Fnp

Secondary Practice Locations 4

Location 11535 N Williams AvePortland, OR 97227-1885 · Phone (503) 238-2067
Location 28225 NE Wasco St Ste 300Portland, OR 97220-5784 · Phone (971) 361-7711
Location 312121 E Burnside StPortland, OR 97216-3737 · Phone (971) 361-7700
Location 4727 W Burnside StPortland, OR 97209-3514 · Phone (503) 228-4533

Other Identifiers 2

Medicaid0022959OR
OtherANP 397OR · Osbn Worker's Comp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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)

Dr. Luis Fernando Carrillo Fnp 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 97217 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.

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 Luis Carrillo's NPI number?

The NPI number for Luis Carrillo is 1083617658. It was assigned to this individual provider in the NPPES registry on May 27, 2005. The provider is also known as Dr. Fernando Carrillo Fnp.

Where is Luis Carrillo located?

Luis Carrillo practices at 6538 N Kerby Ave, Portland, OR 97217. The listed phone number is (503) 283-8351.

What is Luis Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Luis Carrillo enrolled in Medicare?

Yes. Luis Carrillo is registered in the Medicare PECOS enrollment system.

What insurance does Luis Carrillo accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Luis Carrillo 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 Luis Carrillo was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.