ALYSSA BROOKE SHAFFER (MD) – Student in an Organized Health Care Education/Training Program, NPI 1356803738
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
632 OBSTETRICS/GYNECOLOGY in OR
Provider Addresses for ALYSSA BROOKE SHAFFER (MD)
PO BOX 3390
PORTLAND, OR 972083390
Phone: (503) 215-6019
Type: Mailing
1125 MAY ST
STE 202
HOOD RIVER, OR 97031
Phone: (541) 387-8908
Type: Location
H B Burns Memorial Building, 2150, Pennsylvania Avenue Northwest, Washington, Washington, D.C., 20006, United States
WASHINGTON, DC 200373201
Phone:
Type: Mailing
George Washington University Hospital, 900, 23rd Street Northwest, George Washington University, Washington, Washington, D.C., 20037, United States
WASHINGTON, DC 200372342
Phone: (202) 715-4000
Type: Location
1125 May St
Ste 202
Hood River, OR 97031
Phone: (541) 387-8908
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
248 MCHENRY ST
BURLINGTON, WI 531051828
Phone: (262) 767-8000
Type: Location
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: 2023-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230831004371 | I | Obstetrics/Gynecology | OR | TBD |
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.
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 97208)
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