Luis Carrillo, FNP
NPI 1083617658 · Family Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Carrillo, FNP is a Family Nurse Practitioner provider in Portland, OR (NPI 1083617658).
Provider details
- NPI number
- 1083617658
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 200550017NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 727 W Burnside StPortland, OR 97209-3514Phone: (503) 228-4533
- 8225 Ne Wasco St Ste 300Portland, OR 97220-5784Phone: (971) 361-7711
- 12121 E Burnside StPortland, OR 97216-3737Phone: (971) 361-7700
- 1535 N Williams AvePortland, OR 97227-1885Phone: (503) 238-2067
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Luis Carrillo's NPI number?
- Luis Carrillo's National Provider Identifier (NPI) is 1083617658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Carrillo's specialty?
- Luis Carrillo is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Luis Carrillo located?
- Luis Carrillo's practice location on file with NPPES is 6538 N Kerby Ave, Portland, OR 97217-1939.
- What is Luis Carrillo's phone number?
- The practice phone number listed in the NPPES registry for Luis Carrillo is (503) 283-8351.
- Does Luis Carrillo accept Medicare?
- Luis Carrillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Carrillo's NPI active?
- Yes — Luis Carrillo's NPI (1083617658) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.