JOHN M NIGHTINGALE PA-C
NPI 1215212840
Physician Assistant in Lincoln City, OR

Active since October 14, 2011PECOS EnrolledAccepts Medicare Assignment
90.27/100
CMS Quality Rating
825 NW HIGHWAY 101 STE A, LINCOLN CITY, OR 97367(541) 994-7480(541) 557-6439 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2020, Apr 17, 2018 (2 updates tracked since 2018).

About John M Nightingale Pa-c NPPES

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

JOHN M NIGHTINGALE PA-C (NPI 1215212840) is an individual physician assistant in Lincoln City, Oregon, licensed in Oregon (PA156053) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Samaritan North Lincoln Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215212840
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN M NIGHTINGALECredential: PA-C
Location Address825 NW HIGHWAY 101 STE ALincoln City, OR 97367-3241
Mailing AddressPo Box 1194Corvallis, OR 97339-1194
Fax(541) 557-6439
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 14, 2011
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
NPI 1215212840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA156053
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.
825 NW HIGHWAY 101 STE A, Lincoln City, OR 97367

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

John M Nightingale Pa-c 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 ID4284685595
PECOS Enrollment IDI20120119000771
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.

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97367 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.22
Promoting Interoperability100
Improvement Activities40
Cost66.95

Other Providers at the Same Location NPPES 11

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

Family Medicine
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Podiatrist
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Orthopaedic Surgery
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Clinic/Center (Rural Health)
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Physician Assistant
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Nurse Practitioner (Family)
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Orthopaedic Surgery
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367
Orthopaedic Surgery
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 97367

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 John Nightingale's NPI number?

The NPI number for John Nightingale is 1215212840. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is John Nightingale located?

John Nightingale practices at 825 NW Highway 101 Ste A, Lincoln City, OR 97367. The listed phone number is (541) 994-7480.

What is John Nightingale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Nightingale enrolled in Medicare?

Yes. John Nightingale 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 John Nightingale accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list John Nightingale 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 John Nightingale affiliated with any hospitals?

According to CMS data, John Nightingale is affiliated with Samaritan North Lincoln Hospital.

When was this NPI record last updated?

The NPPES record for John Nightingale was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.