KARISA M CERVANTES (OD) – Optometrist, NPI 1275225302

KARISA M CERVANTES (OD) is a healthcare provider. based in Prineville, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. AT4715 (OR). The NPI Number for KARISA M CERVANTES (OD) is 1275225302

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KARISA M CERVANTES (OD)
NPI
1275225302
Phone
(541) 416-2020
Address
340 NW Beaver St
Enumeration Date
25 May 2023
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5419232221
Graduation Year
2023 (3 years ago)
PAC ID
5092151217
Group Practice PAC ID
6901892801
Professional Enrollment ID
I20240311002450
Address ID
OR977562817RE443XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KARISA M CERVANTES (OD)

  • 340 NW Beaver St

    Prineville, OR 977541836

    Phone: (541) 416-2020

    Type: Location

  • 443 SW EVERGREEN AVE

    REDMOND, OR 977562817

    Phone: (541) 923-2221

    Fax: (541) 923-3776

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240311002450IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97754)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901892801View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
-OR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Is there an official ID for KARISA M CERVANTES (OD) in U.S. healthcare records?
The official identifier for KARISA M CERVANTES (OD) is NPI 1275225302.
Is there an active status for KARISA M CERVANTES (OD)?
For scheduling context, KARISA M CERVANTES (OD) is shown as active in the registry.
What clinical focus is listed for KARISA M CERVANTES (OD)?
At a glance, KARISA M CERVANTES (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is KARISA M CERVANTES (OD) associated with Prineville?
Public fields place KARISA M CERVANTES (OD) around Prineville, Oregon. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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