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DR. KRISTINE ROESEN M.D.
NPI 1962644005
Obstetrics & Gynecology in Portland, OR

Active since April 06, 2009PECOS Enrolled
86.03/100
CMS Quality Rating
2801 N GANTENBEIN AVE, LEGACY HEALTH, PORTLAND, OR 97227(503) 413-4278(503) 413-5222 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kristine Roesen M.d. NPPES

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

DR. KRISTINE ROESEN M.D. (NPI 1962644005) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD164090) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962644005
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KRISTINE ROESENCredential: M.D.
Location Address2801 N GANTENBEIN AVE, LEGACY HEALTHPortland, OR 97227-1623
Mailing AddressPo Box 3777, Legacy HealthPortland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Phone(503) 413-4278
Fax(503) 413-5222
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1962644005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · MD164090
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2801 N GANTENBEIN AVE, Portland, OR 97227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristine Roesen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Kristine Roesen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Emanuel Hospital & Health Center
0.1 mi
General Acute Care Hospital
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1831112358 (503) 413-2200
Legacy Clinics LLC
1.6 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901
Legacy Salmon Creek Hospital
12 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Silverton Health
28 mi
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
NPI 1861116055 (503) 874-5653

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.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

KARI MAGNUSSEN MS
Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 403-4967
NORTHWEST PEDIATRIC CRITICAL CARE PC
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2794
DR. JANICE FAYE OLSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
RADIOLOGY CONSULTANTS, INC
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 227-2400
KATHY SCHWEITZER CNP
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2042
DR. JOEL NORMAN LAMPERT PSY.D., LPC, NCC
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
DR. NATALIE JUSTINE TEDFORD MD
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6500
OMAR J BHUTTA MD
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6565

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 Kristine Roesen's NPI number?

The NPI number for Kristine Roesen is 1962644005. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Kristine Roesen located?

Kristine Roesen practices at 2801 N Gantenbein Ave Legacy Health, Portland, OR 97227. The listed phone number is (503) 413-4278.

What is Kristine Roesen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristine Roesen enrolled in Medicare?

Yes. Kristine Roesen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristine Roesen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Roesen reassigns Medicare benefits to 4 organizations: Legacy Emanuel Hospital & Health Center (Portland, OR), Legacy Clinics LLC (Portland, OR), Legacy Salmon Creek Hospital (Vancouver, WA) and Silverton Health (Molalla, OR). 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 Kristine Roesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Roesen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kristine Roesen 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 Kristine Roesen was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.