ROBIN MEVISSEN OD
NPI 1164500864
Optometrist in Poolesville, MD
About Robin Mevissen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBIN MEVISSEN OD (NPI 1164500864) is an individual optometrist in Poolesville, Maryland, licensed in Maryland (TA1222) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 (PECOS)
Robin Mevissen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Robin Mevissen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Poolesville, MD 20837
- Reassigned Medicare billing, District of Columbia enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Robin Mevissen's NPI number?
The NPI number for Robin Mevissen is 1164500864. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Robin Mevissen located?
Robin Mevissen practices at 20005 B Fisher Ave, Poolesville, MD 20837. The listed phone number is (301) 916-3214.
What is Robin Mevissen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Robin Mevissen enrolled in Medicare?
Yes. Robin Mevissen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Robin Mevissen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robin Mevissen reassigns Medicare benefits to Poolesville Vision And Contact Lens Service (Poolesville, MD). 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 Robin Mevissen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robin Mevissen accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Robin Mevissen 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 Robin Mevissen was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Robin Mevissen, OD · NPI 1164500864
Optometrist provider in Poolesville, Maryland. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1164500864 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TA1222 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20005 B FISHER AVE, Poolesville, MD 20837
- **Phone:** (301) 916-3214 · **Fax:** (301) 916-3101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Poolesville Vision And Contact Lens Service (NPI 1114206943, Poolesville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2011
- **Other identifiers:** Medicare PIN 212344 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1164500864) · Data from the CMS NPPES public registry.