COMPASS MEDICAL CLINIC LLC
NPI 1619707056
Family Medicine in Dallas, OR

Active since August 01, 2024CLIA 38D1075230 · Waiver
607 SE JEFFERSON ST, DALLAS, OR 97338(503) 623-1200(503) 623-1414 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Compass Medical Clinic Llc NPPES

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

COMPASS MEDICAL CLINIC LLC (NPI 1619707056) is a healthcare organization registered as a family medicine in Dallas, Oregon and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Aaron Evers, Owner, as its authorized official.

NPPES Registry Identity

NPI1619707056
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMPASS MEDICAL CLINIC LLC
Location Address607 SE JEFFERSON STDallas, OR 97338-2025
Mailing Address607 Se Jefferson StDallas, OR 97338-2025 · (503) 623-1200 · Fax (503) 623-1414
Fax(503) 623-1414
Organization SubpartNo
Authorized OfficialAaron EversOwner · (503) 623-1200
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1619707056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
607 SE JEFFERSON ST, Dallas, OR 97338

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Compass Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Compass Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1639110166
410 E ELLENDALE AVE STE 2
Dallas, OR 97338
(503) 623-8151
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1760450308
1160 WALLACE RD NW
Salem, OR 97304
(503) 381-7773
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1689696510
1234 COMMERCIAL ST SE
Salem, OR 97302
(503) 362-9334
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1326086950
3680 NW SAMARITAN DR
Corvallis, OR 97330
(541) 754-1260
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1075230

Compass Medical Clinic LLC · Dallas, OR
Active · expires Oct 15, 2027
CLIA Number38D1075230
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorAaron M. Evers
Laboratory Phone(503) 623-1200
Laboratory LocationCompass Medical Clinic LLC607 SE Jefferson St, Dallas, OR 97338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Compass Medical Clinic LLC's NPI number?

The NPI number for Compass Medical Clinic LLC is 1619707056. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Compass Medical Clinic LLC located?

Compass Medical Clinic LLC is located at 607 SE Jefferson St, Dallas, OR 97338. The listed phone number is (503) 623-1200.

What is Compass Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Compass Medical Clinic LLC enrolled in Medicare?

Yes. Compass Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Compass Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Compass Medical Clinic LLC, in Family Practice, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Compass Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1075230) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Compass Medical Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Compass Medical Clinic LLC 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 Compass Medical Clinic LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.