DR. ALEXANDRIA NICOLE JERNBERG OD
NPI 1013501220
Optometrist in Eugene, OR
About Dr. Alexandria Nicole Jernberg Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRIA NICOLE JERNBERG OD (NPI 1013501220) is an individual optometrist in Eugene, Oregon, licensed in Oregon (ATI4561) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eugene, and is a graduate of Pacific University - College Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Alexandria Nicole Jernberg Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandria Jernberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 7 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Alexandria Jernberg's NPI number?
The NPI number for Alexandria Jernberg is 1013501220. It was assigned to this individual provider in the NPPES registry on February 28, 2021.
Where is Alexandria Jernberg located?
Alexandria Jernberg practices at 360 S Garden Way Ste 250, Eugene, OR 97401. The listed phone number is (541) 343-5000.
What is Alexandria Jernberg's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alexandria Jernberg enrolled in Medicare?
Yes. Alexandria Jernberg 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 Alexandria Jernberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Jernberg reassigns Medicare benefits to Pacific Clear Vision Institute, PC (Eugene, 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 Alexandria Jernberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandria Jernberg accept?
Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Alexandria Jernberg 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 Alexandria Jernberg was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Alexandria Nicole Jernberg, OD · NPI 1013501220
Optometrist provider in Eugene, Oregon. Individual provider, active in the CMS NPPES registry since February 28, 2021.
## Identity
- **NPI:** 1013501220 (Entity type: Individual)
- **Enumerated:** February 28, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** ATI4561 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 S GARDEN WAY STE 250, Eugene, OR 97401-8175
- **Phone:** (541) 343-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Pacific Clear Vision Institute, PC (NPI 1699812719, Eugene, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** June 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013501220) · Data from the CMS NPPES public registry.