PAIGE PATTILLO NP - NPI 1083091029 - Nurse Practitioner in Stayton, OR

Q: What is Paige Pattillo's NPI number?

The NPI number for Paige Pattillo is 1083091029. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Q: What is Paige Pattillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Paige Pattillo was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Paige Pattillo Np NPPES

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

PAIGE PATTILLO NP (NPI 1083091029) is an individual family provider in Stayton, Oregon, licensed in Oregon (201601264NP-PP) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Santiam Hospital, and maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1083091029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAIGE PATTILLOCredential: NP

Location Address41805 STAYTON SCIO RD SEStayton, OR 97383-9739

Mailing AddressPo Box 118Stayton, OR 97383-0118 · (503) 507-5356 · Fax (866) 225-2708

Phone(503) 507-5356

Fax(866) 225-2708

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 29, 2015

Last NPPES UpdateMay 20, 20265 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1083091029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OR · 201601264NP-PP✔ Licensed in AL · 1-054204

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1-054204 (AL), 201601264NP-PP (OR)

41805 STAYTON SCIO RD SE, Stayton, OR 97383

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Secondary Practice Location 1

Location 19900 Bren Rd EMinnetonka, MN 55343-9664 · Phone (205) 936-1386

Other Identifiers 2

Other201601263RNOR · Oregon State Board Of Nursing

Other201602164NP-PPOR · Oregon State Board Of Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paige Pattillo Np 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.

PECOS PAC ID4587961917

PECOS Enrollment IDI20160329002424

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Santiam Hospital

Acute Care Hospitals · Stayton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380056

Location1401 N 10th AvenueStayton, OR 97383 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97383 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY LULAY FNP-C

Nurse Practitioner