BREEANA K ROCHE PA
NPI 1104074855
Physician Assistant - Surgical in Tualatin, OR

Active since September 07, 2008PECOS EnrolledAccepts Medicare Assignment
19260 SW 65TH AVE STE 435, TUALATIN, OR 97062(503) 692-2032 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breeana K Roche Pa NPPES

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

BREEANA K ROCHE PA (NPI 1104074855) is an individual surgical provider in Tualatin, Oregon, licensed in Oregon (153001) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Dothan.

NPPES Registry Identity

NPI1104074855
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBREEANA K ROCHECredential: PA
Location Address19260 SW 65TH AVE STE 435Tualatin, OR 97062
Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1309
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 7, 2008
Last NPPES UpdateNovember 26, 2018
NPI 1104074855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · 153001
19260 SW 65TH AVE STE 435, Tualatin, OR 97062

Secondary Practice Location 1

Location 11108 Ross Clark CirDothan, AL 36301-3022 · Phone (334) 793-8111

Accepted Insurance

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

Breeana K Roche Pa 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 ID9133301781
PECOS Enrollment IDI20110303000428
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
141 services64 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
137 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
122 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services56 patients
Carcinoembryonic antigen (cea) protein level 82378
Carcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.
33 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Internal Medicine (Medical Oncology)
19260 SW 65TH AVE STE 435
TUALATIN, OR 97062

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 Breeana Roche's NPI number?

The NPI number for Breeana Roche is 1104074855. It was assigned to this individual provider in the NPPES registry on September 7, 2008.

Where is Breeana Roche located?

Breeana Roche practices at 19260 SW 65th Ave Ste 435, Tualatin, OR 97062. The listed phone number is (503) 692-2032.

What is Breeana Roche's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Breeana Roche enrolled in Medicare?

Yes. Breeana Roche 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.

What insurance does Breeana Roche accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Breeana Roche 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 Breeana Roche affiliated with any hospitals?

According to CMS data, Breeana Roche is affiliated with Providence St Vincent Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Breeana Roche was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.