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ALISA KOYAMA
NPI 1588340608
Social Worker - Clinical in Shoreline, WA

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment
17701 11TH AVE NE, SHORELINE, WA 98155(415) 310-1461 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alisa Koyama NPPES

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

ALISA KOYAMA (NPI 1588340608) is an individual clinical provider in Shoreline, Washington, licensed in Oklahoma (20380) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588340608
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALISA KOYAMA
Location Address17701 11TH AVE NEShoreline, WA 98155-3712
Mailing Address17701 11th Ave NeShoreline, WA 98155-3712
Phone(415) 310-1461
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1588340608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OK · 20380✔ Licensed in WA · LW61131874
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
17701 11TH AVE NE, Shoreline, WA 98155
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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 and accepts Medicare assignment

Alisa Koyama 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 ID6608223086
PECOS Enrollment IDI20231107000230
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 Alisa Koyama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation
1,547 mi
Multi-Specialty
395200 W 2900 RD
Ochelata, OK 74051
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1871972430 (918) 535-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98155 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
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alisa Koyama's NPI number?

The NPI number for Alisa Koyama is 1588340608. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Alisa Koyama located?

Alisa Koyama practices at 17701 11th Ave NE, Shoreline, WA 98155. The listed phone number is (415) 310-1461.

What is Alisa Koyama's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alisa Koyama enrolled in Medicare?

Yes. Alisa Koyama 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.

Which organization bills Medicare for Alisa Koyama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Koyama reassigns Medicare benefits to Cherokee Nation (Ochelata, OK). 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 Alisa Koyama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alisa Koyama affiliated with any hospitals?

According to CMS data, Alisa Koyama is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Alisa Koyama was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.