DR. MARISA JANE WICKERATH MD
NPI 1962088641
Family Medicine in Portland, OR
About Dr. Marisa Jane Wickerath Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARISA JANE WICKERATH MD (NPI 1962088641) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD221260) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Hillsboro Medical Center, and is a graduate of University Of Washington School Of Medicine (2021).
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
Dr. Marisa Jane Wickerath 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
3Medicare enrollment records show Marisa Wickerath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 clinicians in this Medicare group
Goldendale, WA 98620
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1386689487 (Washington)
- 53 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hillsboro Medical Center
Acute Care Hospitals · Hillsboro, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 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 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Marisa Wickerath's NPI number?
The NPI number for Marisa Wickerath is 1962088641. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Marisa Wickerath located?
Marisa Wickerath practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3427.
What is Marisa Wickerath's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marisa Wickerath enrolled in Medicare?
Yes. Marisa Wickerath 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 Marisa Wickerath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Wickerath reassigns Medicare benefits to 3 organizations: University Professional Services (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR) and Klickitat County Public Hospital District No 1 (Goldendale, 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 Marisa Wickerath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marisa Wickerath accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Marisa Wickerath 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.
Is Marisa Wickerath affiliated with any hospitals?
According to CMS data, Marisa Wickerath is affiliated with Hillsboro Medical Center.
When was this NPI record last updated?
The NPPES record for Marisa Wickerath was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Dr. Marisa Jane Wickerath, MD · NPI 1962088641
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1962088641 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD221260 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-3427 · **Fax:** (503) 494-3457
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Tuality Medical Group LLC (NPI 1639690704, Hillsboro, OR); Klickitat County Public Hospital District No 1 (NPI 1780754507, Goldendale, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962088641) · Data from the CMS NPPES public registry.