ALYSSA ROBERTSON
NPI 1679421978
Nurse Practitioner in Cleveland, OH

Q: What is Alyssa Robertson's NPI number?

The NPI number for Alyssa Robertson is 1679421978. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Q: What is Alyssa Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Robertson was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 20, 2026PECOS EnrolledAccepts Medicare Assignment

18101 LORAIN AVE, CLEVELAND, OH 44111(216) 645-0413 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Alyssa Robertson NPPES

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

ALYSSA ROBERTSON (NPI 1679421978) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0041787) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679421978

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALYSSA ROBERTSON

Location Address18101 LORAIN AVECleveland, OH 44111-5612

Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 645-0413

Phone(216) 645-0413

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 20, 2026

NPPES CertifiedMarch 20, 2026

✔ NPI 1679421978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0041787

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

18101 LORAIN AVE, Cleveland, OH 44111

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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

Alyssa Robertson 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 ID345712899

PECOS Enrollment IDI20260616001117

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 Alyssa Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Hospital

Same address

General Acute Care Hospital

18101 LORAIN AVE
Cleveland, OH 44111

Reassigned Medicare billing, Ohio enrollment
150 clinicians in this Medicare group

NPI 1215989611 (216) 476-7000

The Cleveland Clinic Foundation

10 mi

Family Medicine

36040 DETROIT RD, STE A
Avon, OH 44011

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1184428336 (886) 636-3318

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.

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

JOSEPH EL DAHDAH MD

Student in an Organized Health Care Education/Training Program