CARLY JACQUELINE GRIFFIN FNP
NPI 1558748293
Nurse Practitioner - Family in Portland, OR
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
Specialties & Licenses
Other Identifiers 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 (PECOS)
Carly Jacqueline Griffin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Carly Griffin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 338 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Oregon enrollment
- 163 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.
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.
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.
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.
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.
PORTLAND, OR 97220
PORTLAND, OR 97220
PORTLAND, OR 97220
PORTLAND, OR 97220
PORTLAND, OR 97220
PORTLAND, OR 97220
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.
Which organizations bill Medicare for Carly Griffin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Griffin reassigns Medicare benefits to 2 organizations: The Oregon Clinic PC (Portland, OR) and Northwest Acute Care Specialists PC (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 Carly Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Carly Jacqueline Griffin, FNP · NPI 1558748293
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 1, 2015.
## Identity
- **NPI:** 1558748293 (Entity type: Individual)
- **Enumerated:** May 1, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201705874NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 NE 99TH AVE STE 200, Portland, OR 97220-9442
- **Phone:** (503) 963-3030 · **Fax:** (503) 963-3140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Oregon Clinic PC (NPI 1265417174, Portland, OR); Northwest Acute Care Specialists PC (NPI 1215983200, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
- **Other identifiers:** Medicaid 2084641 (WA); Medicaid 500730448 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1558748293) · Data from the CMS NPPES public registry.