LI P SUN
NPI 1962067645
Nurse Practitioner - Acute Care in Portland, OR

Active since May 07, 2019PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-6687(503) 494-1717 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2021, May 7, 2019 (2 updates tracked since 2019).

About Li P Sun NPPES

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

LI P SUN (NPI 1962067645) is an individual acute care provider in Portland, Oregon, licensed in Oregon (202111087NP) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962067645
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLI P SUN
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 494-6687 · Fax (503) 494-1717
Fax(503) 494-1717
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 7, 2019
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1962067645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in OR · 202111087NP✔ Licensed in TX · AP141169
3303 S BOND AVE, Portland, OR 97239

Other Names 1

Former Name (1)Li Pan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Li P Sun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587990387
PECOS Enrollment IDI20220124002419
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 Li Sun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group

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 97239 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 20

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

Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Dermatology
3303 S BOND AVE
PORTLAND, OR 97239
Hospitalist
3303 S BOND AVE
PORTLAND, OR 97239

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 Li Sun's NPI number?

The NPI number for Li Sun is 1962067645. It was assigned to this individual provider in the NPPES registry on May 7, 2019. The provider is also known as Li Pan.

Where is Li Sun located?

Li Sun practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-6687.

What is Li Sun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Li Sun enrolled in Medicare?

Yes. Li Sun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Li Sun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Li Sun reassigns Medicare benefits to University Professional Services (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 Li Sun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Li Sun accept?

Health plans from Moda Health Plan, Inc. list Li Sun 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 Li Sun was last updated on December 17, 2021. 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.