NOLAN BASTENDORFF PA
NPI 1104505031
Physician Assistant in Grants Pass, OR

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment
537 UNION AVE FL 2, GRANTS PASS, OR 97527(541) 507-2110 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nolan Bastendorff Pa NPPES

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

NOLAN BASTENDORFF PA (NPI 1104505031) is an individual physician assistant in Grants Pass, Oregon and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is affiliated with Asante Three Rivers Medical Center.

NPPES Registry Identity

NPI1104505031
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNOLAN BASTENDORFFCredential: PA
Location Address537 UNION AVE FL 2Grants Pass, OR 97527-5543
Mailing Address537 Union Ave Fl 2Grants Pass, OR 97527-5543
Sole ProprietorNo
Enumeration DateJuly 17, 2023
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
NPI 1104505031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

537 UNION AVE FL 2, Grants Pass, OR 97527

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

Nolan Bastendorff 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 ID749625192
PECOS Enrollment IDI20240226002295
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.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 3

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

Otolaryngology
537 UNION AVE FL 2
GRANTS PASS, OR 97527
Physician Assistant (Surgical)
537 UNION AVE FL 2
GRANTS PASS, OR 97527
Surgery
537 UNION AVE FL 2
GRANTS PASS, OR 97527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104505031, enumerated as an "individual" on July 17, 2023.

The provider is located at 537 UNION AVE FL 2 GRANTS PASS, OR 97527 and the phone number is (541) 507-2110.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.

Nolan Bastendorff is affiliated with: ASANTE THREE RIVERS MEDICAL CENTER.