ROXANNE M PAYNE FNP
NPI 1295040905
Nurse Practitioner - Family in Portland, OR
About Roxanne M Payne Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROXANNE M PAYNE FNP (NPI 1295040905) is an individual family provider in Portland, Oregon, licensed in Oregon (200750084NP) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Roxanne M Payne Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Roxanne Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Hood, OR 97041
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- Also billed through NPI 1255429338 (Oregon)
- 267 clinicians in this Medicare group
Cannon Beach, OR 97110
- Reassigned Medicare billing, Oregon enrollment
- 301 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 97213 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 97213
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 Roxanne Payne's NPI number?
The NPI number for Roxanne Payne is 1295040905. It was assigned to this individual provider in the NPPES registry on August 18, 2010.
Where is Roxanne Payne located?
Roxanne Payne practices at 4805 NE Glisan St Main Level, Portland, OR 97213. The listed phone number is (503) 215-7901.
What is Roxanne Payne's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Roxanne Payne enrolled in Medicare?
Yes. Roxanne Payne is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Roxanne Payne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roxanne Payne reassigns Medicare benefits to 2 organizations: Providence Hood River Memorial Hospital (Mt Hood, OR) and Providence Health & Services Oregon (Cannon Beach, OR). Each 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 Roxanne Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roxanne Payne accept?
Health plans from Providence Health Plan list Roxanne Payne 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 Roxanne Payne was last updated on October 19, 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.
# Roxanne M Payne, FNP · NPI 1295040905
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 18, 2010.
## Identity
- **NPI:** 1295040905 (Entity type: Individual)
- **Enumerated:** August 18, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 200750084NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4805 NE GLISAN ST, MAIN LEVEL, Portland, OR 97213-2933
- **Phone:** (503) 215-7901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Hood River Memorial Hospital (NPI 1437355955, Mt Hood, OR); Providence Health & Services Oregon (NPI 1841756764, Cannon Beach, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295040905) · Data from the CMS NPPES public registry.