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EMURGENT CARE LLC
NPI 1265871123
Clinic/Center - Urgent Care in Dallas, OR

Active since June 24, 2013CLIA 38D2063124 · Waiver
109 E ELLENDALE AVE STE B, DALLAS, OR 97338(503) 623-3199(503) 623-3398 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2022, Aug 12, 2019 (2 updates tracked since 2019).

About Emurgent Care Llc NPPES

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

EMURGENT CARE LLC (NPI 1265871123) is a healthcare organization registered as an urgent care in Dallas, Oregon and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Crystal Hasina Kohistani, Owner, as its authorized official.

NPPES Registry Identity

NPI1265871123
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameEMURGENT CARE LLC
Location Address109 E ELLENDALE AVE STE BDallas, OR 97338-1509
Mailing Address109 E Ellendale Ave Ste BDallas, OR 97338-1509 · (503) 623-3199 · Fax (503) 623-3398
Phone(503) 623-3199
Fax(503) 623-3398
Organization SubpartNo
Authorized OfficialCrystal Hasina KohistaniOwner · (612) 306-7403
Enumeration DateJune 24, 2013
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1265871123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X · License DO27917 (OR)
109 E ELLENDALE AVE STE B, Dallas, OR 97338
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Emurgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Emurgent Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Emily Atharinikrouh, FNP
Nurse Practitioner
NPI 1639424104
400 HICKORY ST NW STE 303
Albany, OR 97321
(541) 812-5275
✔ PECOS✔ Accepts Medicare22 mi
Marion Hull, MD
Family Practice
NPI 1295775278
5373 E MAIN ST
Hillsboro, OR 97123
(503) 813-2000
✔ PECOS✔ Accepts Medicare45 mi
Donna Millan, FNP
Nurse Practitioner
NPI 1780954214
105 TOTEM WAY
Kake, AK 99830
(907) 785-3333
✔ PECOS951 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2063124

Emurgent Care, LLC · Dallas, OR
Active · expires Jan 8, 2027
CLIA Number38D2063124
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorCrystal H. Kohistani
Laboratory Phone(503) 623-3199
Laboratory LocationEmurgent Care, LLC109 B E Ellendale Ave, Dallas, OR 97338
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Emurgent Care LLC's NPI number?

The NPI number for Emurgent Care LLC is 1265871123. It was assigned to this organization in the NPPES registry on June 24, 2013.

Where is Emurgent Care LLC located?

Emurgent Care LLC is located at 109 E Ellendale Ave Ste B, Dallas, OR 97338. The listed phone number is (503) 623-3199.

What is Emurgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Emurgent Care LLC enrolled in Medicare?

Yes. Emurgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emurgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Emurgent Care LLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emurgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2063124) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Emurgent Care LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Emurgent Care 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 Emurgent Care LLC was last updated on August 1, 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.