OPAL INSTITUTE LLC
NPI 1639472319
Clinical Neuropsychologist in Beaverton, OR
About Opal Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPAL INSTITUTE LLC (NPI 1639472319) is a healthcare organization registered as a clinical neuropsychologist in Beaverton, Oregon and active in the NPI registry since December 2010. The organization lists Amy Susan Schultz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Opal Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Opal Institute LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Opal Institute LLC's NPI number?
The NPI number for Opal Institute LLC is 1639472319. It was assigned to this organization in the NPPES registry on December 17, 2010.
Where is Opal Institute LLC located?
Opal Institute LLC is located at 14780 SW Osprey Dr. #285, Beaverton, OR 97007. The listed phone number is (503) 308-4251.
What is Opal Institute LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Opal Institute LLC enrolled in Medicare?
Yes. Opal Institute LLC is registered in the Medicare PECOS enrollment system.
When is Opal Institute LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Opal Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Opal Institute LLC. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Opal Institute LLC was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Opal Institute Llc · NPI 1639472319
Clinical Neuropsychologist organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since December 17, 2010.
## Identity
- **NPI:** 1639472319 (Entity type: Organization)
- **Enumerated:** December 17, 2010
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Amy Schultz, OWNER
## Practice location
- **Address:** 14780 SW OSPREY DR. #285, Beaverton, OR 97007
- **Phone:** (503) 308-4251 · **Fax:** (503) 591-8628
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1639472319) · Data from the CMS NPPES public registry.