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CARLY JACQUELINE GRIFFIN FNP
NPI 1558748293
Nurse Practitioner - Family in Portland, OR

Active since May 01, 2015PECOS Enrolled
1111 NE 99TH AVE STE 200, PORTLAND, OR 97220(503) 963-3030(503) 963-3140 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Aug 29, 2017, Aug 21, 2017 and 1 more (4 updates tracked since 2017).

About Carly Jacqueline Griffin Fnp NPPES

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

CARLY JACQUELINE GRIFFIN FNP (NPI 1558748293) is an individual family provider in Portland, Oregon, licensed in Oregon (201705874NP-PP) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558748293
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY JACQUELINE GRIFFINCredential: FNP
Location Address1111 NE 99TH AVE STE 200Portland, OR 97220-9442
Mailing Address847 Ne 19th Ave Ste 300Portland, OR 97232-2686 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 963-3030
Fax(503) 963-3140
Sole ProprietorNo
Enumeration DateMay 1, 2015
Last NPPES UpdateNovember 16, 20214 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1558748293 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 · 201705874NP-PP
1111 NE 99TH AVE STE 200, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 2

Medicaid2084641WA
Medicaid500730448OR

Accepted Insurance

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

Carly Jacqueline Griffin 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.

Areas of Expertise CMS Part B claims 3

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.
76 services73 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.
75 services69 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.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers158 claims158 services$31.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers90 claims90 services$66.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers103 claims261 services$25.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers58 claims314 services$15.15 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers37 claims180 services$12.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers106 claims106 services$48.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

MICHAEL JOHN LEFOR MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
WAYNE LAWRENCE STRAUSS MD, PHD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
MARC ALLAN JACOBS MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
SOPHIA A HAYES
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
THOMAS HYLAND SCHAUMBERG MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
RICK BALESTRA M.D.
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
MICHAEL DAVID SKOKAN MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
DAVID LEE HOTCHKIN MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030

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 Carly Griffin's NPI number?

The NPI number for Carly Griffin is 1558748293. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Carly Griffin located?

Carly Griffin practices at 1111 NE 99th Ave Ste 200, Portland, OR 97220. The listed phone number is (503) 963-3030.

What is Carly Griffin's specialty?

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

Is Carly Griffin enrolled in Medicare?

Yes. Carly Griffin is registered in the Medicare PECOS enrollment system.

What insurance does Carly Griffin accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Carly Griffin 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 Carly Griffin was last updated on November 16, 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.