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LARYSSA SOPHIA LITEPLO FNP
NPI 1487362489
Nurse Practitioner - Family in Portland, OR

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7260 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Nov 17, 2025, Nov 8, 2022 (3 updates tracked since 2022).

About Laryssa Sophia Liteplo Fnp NPPES

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

LARYSSA SOPHIA LITEPLO FNP (NPI 1487362489) is an individual family provider in Portland, Oregon, licensed in Oregon (10002063) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487362489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARYSSA SOPHIA LITEPLOCredential: FNP
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address1015 Nw 22nd AvePortland, OR 97210-3025 · (917) 952-8729
Phone(503) 413-7260
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2022
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1487362489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10002063
Also ListedNurse PractitionerTaxonomy 363L00000X · License 61379599 (WA)
1015 NW 22ND AVE, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laryssa Sophia Liteplo 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.

PECOS PAC ID1052781556
PECOS Enrollment IDI20240607001265
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
68 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services36 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

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 Laryssa Liteplo's NPI number?

The NPI number for Laryssa Liteplo is 1487362489. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Laryssa Liteplo located?

Laryssa Liteplo practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7260.

What is Laryssa Liteplo's specialty?

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

Is Laryssa Liteplo enrolled in Medicare?

Yes. Laryssa Liteplo 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.

What insurance does Laryssa Liteplo accept?

Health plans from Moda Health Plan, Inc. list Laryssa Liteplo 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.

Is Laryssa Liteplo affiliated with any hospitals?

According to CMS data, Laryssa Liteplo is affiliated with Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Laryssa Liteplo was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.