ALISON MORTENSEN
NPI 1861819120
Pediatrics in Louisville, KY

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 E CHESTNUT ST BLDG STE 303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2022, Oct 26, 2020, Mar 12, 2020 and 1 more (4 updates tracked since 2018).

About Alison Mortensen NPPES

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

ALISON MORTENSEN (NPI 1861819120) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (51450) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Norton-king's Daughters' Health, and is a graduate of Brody School Of Medicine At East Carolina University (2014).

NPPES Registry Identity

NPI1861819120
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALISON MORTENSEN
Location Address200 E CHESTNUT ST BLDG STE 303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1861819120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 51450
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.
200 E CHESTNUT ST BLDG STE 303, Louisville, KY 40202

Other Identifiers 3

Medicaid300025162IN
OtherK272690KY · Medicare
Medicaid7100360950KY

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

Alison Mortensen 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 ID6103132261
PECOS Enrollment IDI20180920002279
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 Alison Mortensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
471 services174 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Physician Assistant
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY 40202

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 Alison Mortensen's NPI number?

The NPI number for Alison Mortensen is 1861819120. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Alison Mortensen located?

Alison Mortensen practices at 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202. The listed phone number is (502) 629-5552.

What is Alison Mortensen's specialty?

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

Is Alison Mortensen enrolled in Medicare?

Yes. Alison Mortensen 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 Alison Mortensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Mortensen reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). 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 Alison Mortensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alison Mortensen affiliated with any hospitals?

According to CMS data, Alison Mortensen is affiliated with Norton-King's Daughters' Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Alison Mortensen was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.