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SOPHIE EMMALINE GRISWOLD RN
NPI 1649056094
Nurse Practitioner - Adult Health in Portland, OR

Active since September 01, 2023PECOS Enrolled
501 N GRAHAM ST STE 445, PORTLAND, OR 97227(503) 944-6300 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Sep 1, 2023 (2 updates tracked since 2023).

About Sophie Emmaline Griswold Rn NPPES

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

SOPHIE EMMALINE GRISWOLD RN (NPI 1649056094) is an individual adult health provider in Portland, Oregon, licensed in Oregon (10041498) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649056094
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSOPHIE EMMALINE GRISWOLDCredential: RN
Location Address501 N GRAHAM ST STE 445Portland, OR 97227-2002
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Phone(503) 944-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1649056094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OR · 10041498
Also ListedRegistered NurseTaxonomy 163W00000X · License RN209753 (AZ)
501 N GRAHAM ST STE 445, Portland, OR 97227
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Emmaline Griswold Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486112596
PECOS Enrollment IDI20260819002010
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.

Medicare Billing Reassignment

Medicare enrollment records show Sophie Griswold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Clinics LLC
1.5 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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.

Other Providers at the Same Location NPPES 6

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

LAURA J. SILLA MD
Psychiatry & Neurology (Neurology)
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 413-6166
DR. JASON DAVID WILSON M.D.
Neurological Surgery
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 944-6300
DR. VAIDEHI MAHADEV MD
Neurological Surgery
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 944-6300
ADRIANA SUSANNA GRIMES PA-C
Physician Assistant
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 944-6300
TODD KUETHER TRAUMA LLC
Neurological Surgery
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 489-8111
JOSHUA HANNA
Neurological Surgery
501 N GRAHAM ST STE 445
PORTLAND, OR 97227
Multnomah County (503) 944-6300

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 Sophie Griswold's NPI number?

The NPI number for Sophie Griswold is 1649056094. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Sophie Griswold located?

Sophie Griswold practices at 501 N Graham St Ste 445, Portland, OR 97227. The listed phone number is (503) 944-6300.

What is Sophie Griswold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sophie Griswold enrolled in Medicare?

Yes. Sophie Griswold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophie Griswold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Griswold reassigns Medicare benefits to Legacy Clinics LLC (Portland, OR). The 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 Sophie Griswold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Griswold accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Sophie Griswold 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 Sophie Griswold was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.