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ELYSE JEANNINE ADLER MS
NPI 1396583662
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since July 19, 2024PECOS Enrolled
707 SW GAINES ST, PORTLAND, OR 97239(503) 418-4308 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elyse Jeannine Adler Ms NPPES

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

ELYSE JEANNINE ADLER MS (NPI 1396583662) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396583662
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELYSE JEANNINE ADLERCredential: MS
Location Address707 SW GAINES STPortland, OR 97239-2901
Mailing Address836 S Curry St Unit 706Portland, OR 97239-4755 · (650) 759-9136
Phone(503) 418-4308
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1396583662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
707 SW GAINES ST, Portland, OR 97239
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse Jeannine Adler Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325525751
PECOS Enrollment IDI20260116000487
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.

Medicare Billing Reassignment

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

Regents Of The Univ Of Ca
460 mi
Urogynecology and Reconstructive Pelvic Surgery
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1285068783 (916) 734-6483

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 20

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

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
DR. DIANA VAZQUEZ DUQUE PHD
Counselor (Mental Health)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-0199
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000

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 Elyse Adler's NPI number?

The NPI number for Elyse Adler is 1396583662. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Where is Elyse Adler located?

Elyse Adler practices at 707 SW Gaines St, Portland, OR 97239. The listed phone number is (503) 418-4308.

What is Elyse Adler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elyse Adler enrolled in Medicare?

Yes. Elyse Adler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elyse Adler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyse Adler reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). 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 Elyse Adler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elyse Adler was last updated on July 19, 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.