LARISSA BIRNDORF (MSW, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073939211

LARISSA BIRNDORF (MSW, PMHNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials MSW, PMHNP-BC. They hold a License No. 201393260RN (OR). The NPI Number for LARISSA BIRNDORF (MSW, PMHNP-BC) is 1073939211

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA BIRNDORF (MSW, PMHNP-BC)
NPI
1073939211
Phone
(503) 477-7878
Address
2828 SW Kelly Ave Ste 6-196
Enumeration Date
12 March 2014
Last Update Date
6 September 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034473285
Graduation Year
2015 (11 years ago)
PAC ID
7719290451
Group Practice PAC ID
7214277383
Professional Enrollment ID
I20230206001148
Address ID
OR972222137PO6400XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for LARISSA BIRNDORF (MSW, PMHNP-BC)

  • 2828 SW Kelly Ave Ste 6-196

    Portland, OR 972014809

    Phone: (503) 477-7878

    Fax: (888) 765-0392

    Type: Location

  • 2701 NW VAUGHN ST STE 470

    PORTLAND, OR 972105326

    Phone: (503) 719-4648

    Type: Location

  • 25 NW 23RD PL STE 6-196

    PORTLAND, OR 972105580

    Phone: (503) 477-7878

    Fax: (888) 765-0392

    Type: Mailing

  • 2029 SE Jefferson St Ste 105

    Milwaukie, OR 972227605

    Phone: (503) 664-4127

    Type: Location

  • 19075 NW Tanasbourne Dr

    Hillsboro, OR 971245860

    Phone: (844) 966-6777

    Type: Location

  • 2873 NW RALEIGH ST

    PORTLAND, OR 972102464

    Phone: (503) 679-7824

    Type: Mailing

  • 2828 SW KELLY AVE STE 6-196

    PORTLAND, OR 972014809

    Phone: (503) 477-7878

    Fax: (888) 765-0392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $475.

Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($388).

Total Amount

$475

General + Research + Ownership

Payments

4

Total payment records

General Amount

$475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230206001074INurse PractitionerWATBD
I20230206001148INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90868Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management23812$0
99213Established patient office or other outpatient visit, 20-29 minutes2811$0
View full utilization report →

Insurance plans in this area (ZIP 97201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214277383View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for LARISSA BIRNDORF (MSW, PMHNP-BC)?
LARISSA BIRNDORF (MSW, PMHNP-BC) — NPI 1073939211 — is the standard way to identify this listing.
Does the file indicate LARISSA BIRNDORF (MSW, PMHNP-BC) is practicing under active NPI?
Directory data currently reports LARISSA BIRNDORF (MSW, PMHNP-BC) as active.
What is LARISSA BIRNDORF (MSW, PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for LARISSA BIRNDORF (MSW, PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
Does LARISSA BIRNDORF (MSW, PMHNP-BC) list a practice location?
Patients near Portland, Oregon may find LARISSA BIRNDORF (MSW, PMHNP-BC) in results; validate coverage separately.
Why does LARISSA BIRNDORF (MSW, PMHNP-BC) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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