NATALIE ANN DERISE MD
NPI 1922505643
Otolaryngology in Birmingham, AL
About Natalie Ann Derise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATALIE ANN DERISE MD (NPI 1922505643) is an individual otolaryngology provider in Birmingham, Alabama, licensed in Alabama (MD.39063) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2018).
NPPES Registry Identity
Specialties & Licenses
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
Natalie Ann Derise Md 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 Reassignments
4Medicare enrollment records show Natalie Derise reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Richland, WA 99352
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 689 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 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 35233 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.
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 Natalie Derise's NPI number?
The NPI number for Natalie Derise is 1922505643. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is Natalie Derise located?
Natalie Derise practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.
What is Natalie Derise's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Natalie Derise enrolled in Medicare?
Yes. Natalie Derise 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 organizations bill Medicare for Natalie Derise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Derise reassigns Medicare benefits to 4 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Association Of Chmc And University Physicians (Richland, WA), Valley Medical Group-Renton (Renton, WA) and The Association Of University Physicians (Seattle, WA). Each 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 Natalie Derise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Natalie Derise accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Providence Health Plan list Natalie Derise 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 Natalie Derise was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Natalie Ann Derise, MD · NPI 1922505643
Otolaryngology physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1922505643 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD.39063 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 19TH ST S, Birmingham, AL 35233-1900
- **Phone:** (205) 934-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Alabama Health Services Foundation, PC (NPI 1124213376, Birmingham, AL); Association Of Chmc And University Physicians (NPI 1851680664, Richland, WA); Valley Medical Group-Renton (NPI 1619209574, Renton, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2018
## Record status
- **NPPES last updated:** September 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922505643) · Data from the CMS NPPES public registry.