Misty Van Cleave, DNP FNP - Medicare Nurse Practitioner in Gresham, OR

Misty Van Cleave, DNP FNP is a medicare enrolled "Nurse Practitioner" in Gresham, Oregon. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and her current practice location is Legacy Gohealth Urgent Care Gresham, 2850 Se Powell Valley Rd., Ste. 100, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (505) 050-3666.

Misty Van Cleave is licensed to practice in Oregon (license number 202110509NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285305870.

Contact Information

Misty Van Cleave, DNP FNP
Legacy Gohealth Urgent Care Gresham, 2850 Se Powell Valley Rd., Ste. 100,
Gresham, OR 97080
(505) 050-3666
Not Available



Provider's Profile

Full NameMisty Van Cleave
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
LocationLegacy Gohealth Urgent Care Gresham, Gresham, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Misty Van Cleave graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1285305870
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 11/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406246552
  • Enrollment ID: I20211202002924

Medical Identifiers

Medical identifiers for Misty Van Cleave such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285305870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 202110509NP-PP (Oregon)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misty Van Cleave allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Van Cleave is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Misty Van Cleave, DNP FNP
7103 Se Sherrett St,
Portland, OR 97206-8727

Ph: (503) 545-7213
Misty Van Cleave, DNP FNP
Legacy Gohealth Urgent Care Gresham, 2850 Se Powell Valley Rd., Ste. 100,
Gresham, OR 97080

Ph: (505) 050-3666

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Nurse Practitioner Nurses in Gresham, OR

Vivian B Vargo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Ne 8th St, Gresham, OR 97030
Phone: 503-988-5155    Fax: 503-988-5185
Elana Underwood Scharff, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030
Phone: 503-674-1520    Fax: 503-674-1599
Renae Rykaczewski, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030
Phone: 530-988-5155    
Alma San Juan, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030
Phone: 503-674-1520    
Mrs. Crystal Luna, MSN, APRN-RX, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-666-5050    
Ms. Heike K. Huchler,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-666-5050    
Robert Mayer, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 440 Nw Division St, Gresham, OR 97030
Phone: 503-215-9500    

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