MISTY VAN CLEAVE DNP FNP
NPI 1285305870
Nurse Practitioner in Gresham, OR
About Misty Van Cleave Dnp Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY VAN CLEAVE DNP FNP (NPI 1285305870) is an individual nurse practitioner in Gresham, Oregon, licensed in Oregon (202110509NP-PP) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Misty Van Cleave Dnp Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Misty Van Cleave reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Sandy, OR 97055
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1902827272 (Washington)
- 1,248 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Oregon enrollment
- 163 clinicians in this Medicare group
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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 97080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Misty Van Cleave's NPI number?
The NPI number for Misty Van Cleave is 1285305870. It was assigned to this individual provider in the NPPES registry on September 23, 2021.
Where is Misty Van Cleave located?
Misty Van Cleave practices at Legacy Gohealth Urgent Care Gresham 2850 SE Powell Valley Rd., Ste. 100, Gresham, OR 97080. The listed phone number is (505) 050-3666.
What is Misty Van Cleave's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Misty Van Cleave enrolled in Medicare?
Yes. Misty Van Cleave is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Misty Van Cleave's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Van Cleave reassigns Medicare benefits to 4 organizations: Sapphire At Gresham Rehab, LLC (Gresham, OR), Legacy Clinics LLC (Sandy, OR), Northwest Acute Care Specialists PC (Portland, OR) and University Professional Services (Portland, 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 Misty Van Cleave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Van Cleave accept?
Health plans from Kaiser Permanente and PacificSource Health Plans list Misty Van Cleave 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 Misty Van Cleave was last updated on November 21, 2021. 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.
# Misty Van Cleave, DNP FNP · NPI 1285305870
Nurse Practitioner physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since September 23, 2021.
## Identity
- **NPI:** 1285305870 (Entity type: Individual)
- **Enumerated:** September 23, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 202110509NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** LEGACY GOHEALTH URGENT CARE GRESHAM, 2850 SE POWELL VALLEY RD., STE. 100, Gresham, OR 97080
- **Phone:** (505) 050-3666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR); Legacy Clinics LLC (NPI 1730472192, Sandy, OR); Northwest Acute Care Specialists PC (NPI 1215983200, Portland, OR); University Professional Services (NPI 1316354970, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285305870) · Data from the CMS NPPES public registry.