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MR. ELLIOTT LOUIS KOIVISTO NP
NPI 1407592397
Nurse Practitioner - Psychiatric/Mental Health in Tigard, OR

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
7145 SW VARNS ST STE 206, TIGARD, OR 97223(971) 405-2584(800) 785-4531 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Nov 17, 2023, May 3, 2023 and 2 more (5 updates tracked since 2022).

About Mr. Elliott Louis Koivisto Np NPPES

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

MR. ELLIOTT LOUIS KOIVISTO NP (NPI 1407592397) is an individual psychiatric/mental health provider in Tigard, Oregon, licensed in Oregon (10005745) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407592397
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ELLIOTT LOUIS KOIVISTOCredential: NP
Location Address7145 SW VARNS ST STE 206Tigard, OR 97223-8168
Mailing Address11785 Sw Robbins DrBeaverton, OR 97008-7949 · (503) 522-2831
Phone(971) 405-2584
Fax(800) 785-4531
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateNovember 7, 20255 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1407592397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10005745✔ Licensed in WA · AP61377025
7145 SW VARNS ST STE 206, Tigard, OR 97223
Open in Google Maps ↗

Other Identifiers 5

Medicaid500819778OR
Other10005745OR · Oregon State Nursing License
Other201390875RNOR · Oregon State Nursing License Number
OtherAP61377025WA · Washington State Department Of Health
OtherRN60545376WA · Washington State Department Of Health

Accepted Insurance

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

Mr. Elliott Louis Koivisto Np 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.

PECOS PAC ID5597121665
PECOS Enrollment IDI20230515003183
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elliott Koivisto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hauskaa Psychiatry LLC
Same address
Psychiatric/Mental Health
7145 SW VARNS ST STE 101
Tigard, OR 97223
  • Reassigned Medicare billing, Oregon enrollment
NPI 1295582575 (971) 405-2584
Mindful Therapy Group PC
166 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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 97223 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 Elliott Koivisto's NPI number?

The NPI number for Elliott Koivisto is 1407592397. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Elliott Koivisto located?

Elliott Koivisto practices at 7145 SW Varns St Ste 206, Tigard, OR 97223. The listed phone number is (971) 405-2584.

What is Elliott Koivisto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elliott Koivisto enrolled in Medicare?

Yes. Elliott Koivisto 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 Elliott Koivisto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliott Koivisto reassigns Medicare benefits to 2 organizations: Hauskaa Psychiatry LLC (Tigard, OR) and Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Elliott Koivisto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliott Koivisto accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Elliott Koivisto 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 Elliott Koivisto was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.