CHARISSA ROSE MD
NPI 1114952355
Psychiatry & Neurology - Psychiatry in Portland, OR
About Charissa Rose Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARISSA ROSE MD (NPI 1114952355) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD23235) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Charissa Rose Md 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 Charissa Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 1,501 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 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.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
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 Charissa Rose's NPI number?
The NPI number for Charissa Rose is 1114952355. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Charissa Rose located?
Charissa Rose practices at 9205 SW Barnes Rd Suite 5E, Portland, OR 97225. The listed phone number is (503) 216-2028.
What is Charissa Rose's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Charissa Rose enrolled in Medicare?
Yes. Charissa Rose 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 Charissa Rose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charissa Rose reassigns Medicare benefits to Providence Health & Services Oregon (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 Charissa Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charissa Rose accept?
Health plans from Providence Health Plan list Charissa Rose 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.
Is Charissa Rose affiliated with any hospitals?
According to CMS data, Charissa Rose is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Charissa Rose was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Charissa Rose, MD · NPI 1114952355
Psychiatry physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1114952355 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD23235 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9205 SW BARNES RD, SUITE 5E, Portland, OR 97225-6603
- **Phone:** (503) 216-2028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services Oregon (NPI 1053403394, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** October 5, 2020
- **Other identifiers:** Medicaid 500626951 (OR); Medicaid 287087 (OR); Other P00838383 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114952355) · Data from the CMS NPPES public registry.