DR. ALISE MAGNUSON M.D.
NPI 1508864638
Pediatrics in Lexington, VA

Q: What is Alise Magnuson's NPI number?

The NPI number for Alise Magnuson is 1508864638. It was assigned to this individual provider in the NPPES registry on July 12, 2005. The provider is also known as Alise Mary Amato.

Q: What is Alise Magnuson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alise Magnuson was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 12, 2005PECOS Enrolled

146 S MAIN ST, LEXINGTON, VA 24450(540) 462-6270(540) 319-5172 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, May 26, 2022, Nov 22, 2021 (3 updates tracked since 2021).

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About Dr. Alise Magnuson M.d. NPPES

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

DR. ALISE MAGNUSON M.D. (NPI 1508864638) is an individual pediatrics provider in Lexington, Virginia, licensed in Virginia (0101233351) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nogales.

NPPES Registry Identity

NPI1508864638

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ALISE MAGNUSONCredential: M.D.

Location Address146 S MAIN STLexington, VA 24450-2356

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 462-6270

Fax(540) 319-5172

Sole ProprietorNo

Enumeration DateJuly 12, 2005

Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1508864638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101233351✔ Licensed in AZ · 63116

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

146 S MAIN ST, Lexington, VA 24450

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Other Names 1

Former Name (1)Alise Mary Amato

Secondary Practice Location 1

Location 11103 Circulo MercadoNogales, AZ 85648-6248 · Phone (520) 281-1550 ext. 1180 · Fax (520) 281-1112

Other Identifiers 1

Medicaid098235AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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)

Dr. Alise Magnuson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Alise Magnuson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation

45 mi

Multi-Specialty

213 S JEFFERSON ST STE 1006
Roanoke, VA 24011

Reassigned Medicare billing, Virginia enrollment
956 clinicians in this Medicare group

NPI 1447206370 (540) 224-5452

Carilion Medical Center

46 mi

Multi-Specialty

1906 BELLEVIEW AVE SE
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1730123472 (540) 981-7000

Maricopa County Special Health Care District

1,838 mi

Adult Mental Health

950 E MAIN ST
Mesa, AZ 85203

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1104331115 (602) 655-6260

District Medical Group, Inc

1,839 mi

Psychiatry

570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1124251020 (480) 344-2000

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 24450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. DAVID A ELLINGTON M D

Family Medicine