ALISE NICHOLE ROBERSON O.D.
NPI 1871956136
Optometrist in Portland, OR
About Alise Nichole Roberson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISE NICHOLE ROBERSON O.D. (NPI 1871956136) is an individual optometrist in Portland, Oregon, licensed in Oregon (3671ATI) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Alise Nichole Roberson O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Alise Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1184786527 (Washington)
- 3,207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Alise Roberson's NPI number?
The NPI number for Alise Roberson is 1871956136. It was assigned to this individual provider in the NPPES registry on April 3, 2016.
Where is Alise Roberson located?
Alise Roberson practices at 3600 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 249-3429.
What is Alise Roberson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alise Roberson enrolled in Medicare?
Yes. Alise Roberson 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 Alise Roberson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alise Roberson reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Alise Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alise Roberson accept?
Health plans from Kaiser Permanente list Alise Roberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alise Roberson was last updated on February 4, 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.
# Alise Nichole Roberson, O.D. · NPI 1871956136
Optometrist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 3, 2016.
## Identity
- **NPI:** 1871956136 (Entity type: Individual)
- **Enumerated:** April 3, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3671ATI (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 N INTERSTATE AVE, Portland, OR 97227-1106
- **Phone:** (503) 249-3429
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871956136) · Data from the CMS NPPES public registry.