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LARISA JEFFREYS P.M.H.N.P.
NPI 1568538692
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since November 28, 2006Opted out of Medicare · through Apr 1, 2027
2340 NW THURMAN ST., SUITE 202, PORTLAND, OR 97210(503) 227-0975(971) 339-4849 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larisa Jeffreys P.m.h.n.p. NPPES

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

LARISA JEFFREYS P.M.H.N.P. (NPI 1568538692) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200350004) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1568538692
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLARISA JEFFREYSCredential: P.M.H.N.P.
Location Address2340 NW THURMAN ST., SUITE 202Portland, OR 97210-2579
Mailing Address2340 Nw Thurman St., Suite 202Portland, OR 97210-2579 · (503) 227-0975 · Fax (971) 339-4849
Phone(503) 227-0975
Fax(971) 339-4849
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1568538692 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 · 200350004✔ Licensed in OR · 200350004NP
2340 NW THURMAN ST., Portland, OR 97210
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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

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Opted out of Medicare

Larisa Jeffreys P.m.h.n.p. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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 Larisa Jeffreys's NPI number?

The NPI number for Larisa Jeffreys is 1568538692. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Larisa Jeffreys located?

Larisa Jeffreys practices at 2340 NW Thurman St. Suite 202, Portland, OR 97210. The listed phone number is (503) 227-0975.

What is Larisa Jeffreys's specialty?

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

Is Larisa Jeffreys enrolled in Medicare?

No. Larisa Jeffreys has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Larisa Jeffreys accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Larisa Jeffreys 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 Larisa Jeffreys was last updated on March 29, 2022. 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.