NORTHWEST IV, LLC
NPI 1811600471
Nurse Practitioner - Family in Beaverton, OR

Active since December 28, 2022
16100 NW CORNELL RD STE 190, BEAVERTON, OR 97006(714) 055-9609(971) 405-5961 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Dec 28, 2022 (2 updates tracked since 2022).

About Northwest Iv, Llc NPPES

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

NORTHWEST IV, LLC (NPI 1811600471), doing business as Evolve Health, is a healthcare organization registered as a family in Beaverton, Oregon and active in the NPI registry since December 2022. The organization lists John Perry, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1811600471
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHWEST IV, LLC
Location Address16100 NW CORNELL RD STE 190Beaverton, OR 97006-8104
Mailing Address6400 Se Lake Rd Ste 155Portland, OR 97222-2137 · (971) 358-9292 · Fax (503) 917-4971
Fax(971) 405-5961
Organization SubpartNo
Authorized OfficialJohn PerryManaging Director · (503) 447-3285
Enumeration DateDecember 28, 2022
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1811600471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
16100 NW CORNELL RD STE 190, Beaverton, OR 97006

Other Names 1

Doing Business AsEvolve Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Iv, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Northwest IV, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner10
Psychiatry2
Anesthesiology1

Clinicians, nearest first (13)

Psychiatry
NPI 1679749980
15160 NW LAIDLAW RD STE 240
Portland, OR 97229
(503) 601-7004
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1073939211
2701 NW VAUGHN ST STE 470
Portland, OR 97210
(503) 719-4648
✔ PECOS6.6 mi
Nurse Practitioner
NPI 1902203367
4212 SE DIVISION ST STE 100
Portland, OR 97206
(503) 963-2575
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1518994565
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8300
✔ PECOS12 mi
Nurse Practitioner
NPI 1649582610
1321 NE 99TH AVE SUITE 100
Portland, OR 97220
(503) 215-9900
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1952528895
25117 SW PARKWAY AVE STE B
Wilsonville, OR 97070
(503) 783-7243
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1063701126
6400 SE LAKE RD STE 155
Portland, OR 97222
(971) 368-9292
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1407868805
6400 SE LAKE RD STE 155
Portland, OR 97222
(503) 447-3285
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1700211513
6400 SE LAKE RD STE 155
Portland, OR 97222
(503) 447-3285
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1669005997
6400 SE LAKE RD STE 155
Portland, OR 97222
(503) 447-3285
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1194900084
12901 SE 97TH AVE STE 105
Clackamas, OR 97015
(503) 912-4788
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1215607890
2255 NW SHEVLIN PARK RD STE 110
Bend, OR 97703
(541) 728-2525
✔ PECOS125 mi
Nurse Practitioner
NPI 1861742025
29 NW GREELEY AVE
Bend, OR 97703
(541) 293-5239
✔ PECOS✔ Accepts Medicare127 mi

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 Northwest IV, LLC's NPI number?

The NPI number for Northwest IV, LLC is 1811600471. It was assigned to this organization in the NPPES registry on December 28, 2022. The provider is doing business as Evolve Health.

Where is Northwest IV, LLC located?

Northwest IV, LLC is located at 16100 NW Cornell Rd Ste 190, Beaverton, OR 97006. The listed phone number is (714) 055-9609.

What is Northwest IV, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Northwest IV, LLC enrolled in Medicare?

Yes. Northwest IV, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest IV, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Northwest IV, 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. The largest specialties are Nurse Practitioner (10), Psychiatry (2) and Anesthesiology (1). Of these, 2 practice 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 Northwest IV, LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.