ALISHA MARIE MORTENSON PA
NPI 1134923238
Physician Assistant - Medical in Rocklin, CA

Active since April 01, 2025PECOS EnrolledAccepts Medicare Assignment
3104 SUNSET BLVD STE 2B, ROCKLIN, CA 95677(916) 624-0300 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Alisha Marie Mortenson Pa NPPES

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

ALISHA MARIE MORTENSON PA (NPI 1134923238) is an individual medical provider in Rocklin, California, licensed in California (PA66461) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134923238
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALISHA MARIE MORTENSONCredential: PA
Location Address3104 SUNSET BLVD STE 2BRocklin, CA 95677-3093
Mailing Address2856 Applewood DrLodi, CA 95242-8317 · (209) 369-2408
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 1, 2025
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1134923238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA66461
3104 SUNSET BLVD STE 2B, Rocklin, CA 95677

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisha Marie Mortenson Pa 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.

PECOS PAC ID7416468905
PECOS Enrollment IDI20250612002029
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

Family Medicine (Sports Medicine)
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Nurse Practitioner (Family)
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Family Medicine (Sports Medicine)
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Physician Assistant
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Physician Assistant
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Physician Assistant
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Internal Medicine
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677
Physician Assistant (Medical)
3104 SUNSET BLVD STE 2B
ROCKLIN, CA 95677

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 Alisha Mortenson's NPI number?

The NPI number for Alisha Mortenson is 1134923238. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Alisha Mortenson located?

Alisha Mortenson practices at 3104 Sunset Blvd Ste 2B, Rocklin, CA 95677. The listed phone number is (916) 624-0300.

What is Alisha Mortenson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alisha Mortenson enrolled in Medicare?

Yes. Alisha Mortenson 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.

When was this NPI record last updated?

The NPPES record for Alisha Mortenson was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.