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ALEXANDRA PCHENITCHNIKOVA DC
NPI 1124897343
Chiropractor in Portland, OR

Active since December 28, 2023
913 SW 16TH AVE, PORTLAND, OR 97205(503) 228-5000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexandra Pchenitchnikova Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA PCHENITCHNIKOVA DC (NPI 1124897343) is an individual chiropractor in Portland, Oregon, licensed in Oregon (6360) and active in the NPI registry since December 2023. She is a graduate of Western States College Of Chiropractic (2023).

NPPES Registry Identity

NPI1124897343
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameALEXANDRA PCHENITCHNIKOVACredential: DC
Location Address913 SW 16TH AVEPortland, OR 97205-1730
Mailing Address5240 Sw 42nd AvePortland, OR 97221-3641 · (650) 722-0501
Phone(503) 228-5000
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2023
Enumeration DateDecember 28, 2023
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1124897343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 6360
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
913 SW 16TH AVE, Portland, OR 97205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Pchenitchnikova Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890226120
PECOS Enrollment IDI20241112004156

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Pchenitchnikova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Equilibrium LLC
Same address
Chiropractor
913 SW 16TH AVE
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1629137070 (503) 228-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL WHYTE
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
BRITTNEY ALI
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
AARON SMITH
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
REGINA CHANTE
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
HEATHER BRAMAN LMT
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (971) 300-9234
ANNA BELLE VACHERESSE
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
EQUILIBRIUM LLC
Chiropractor
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000
AUSTIN A MACPHERSON LMT
Massage Therapist
913 SW 16TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-5000

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 Alexandra Pchenitchnikova's NPI number?

The NPI number for Alexandra Pchenitchnikova is 1124897343. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Alexandra Pchenitchnikova located?

Alexandra Pchenitchnikova practices at 913 SW 16th Ave, Portland, OR 97205. The listed phone number is (503) 228-5000.

What is Alexandra Pchenitchnikova's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Alexandra Pchenitchnikova enrolled in Medicare?

Yes. Alexandra Pchenitchnikova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Pchenitchnikova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Pchenitchnikova reassigns Medicare benefits to Equilibrium LLC (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 Alexandra Pchenitchnikova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Pchenitchnikova accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alexandra Pchenitchnikova 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 Alexandra Pchenitchnikova was last updated on January 8, 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.