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JOHNNY NOLAN DO
NPI 1215677653
Internal Medicine in Happy Valley, OR

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
11211 SE 82ND AVE STE Z, HAPPY VALLEY, OR 97086(971) 432-7555 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnny Nolan Do NPPES

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

JOHNNY NOLAN DO (NPI 1215677653) is an individual internal medicine provider in Happy Valley, Oregon, licensed in Oregon (DO226572) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and maintains a secondary practice location in Inverness.

NPPES Registry Identity

NPI1215677653
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHNNY NOLANCredential: DO
Location Address11211 SE 82ND AVE STE ZHappy Valley, OR 97086-7669
Mailing Address502 W Highland BlvdInverness, FL 34452-4720 · (352) 726-1551
Phone(971) 432-7555
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2025
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1215677653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · DO226572
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11211 SE 82ND AVE STE Z, Happy Valley, OR 97086
Open in Google Maps ↗

Secondary Practice Location 1

Location 1502 W Highland BlvdInverness, FL 34452-4720 · Phone (352) 726-1551

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnny Nolan Do 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 ID8628435989
PECOS Enrollment IDI20250905004135
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.

Medicare Billing Reassignment

Medicare enrollment records show Johnny Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Vancouver Clinic Inc Ps
13 mi
Internal Medicine
700 NE 87TH AVE
Vancouver, WA 98664
  • Reassigned Medicare billing, Oregon enrollment
  • 28 clinicians in this Medicare group
NPI 1992759427 (360) 882-2778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97086 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Johnny Nolan's NPI number?

The NPI number for Johnny Nolan is 1215677653. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Johnny Nolan located?

Johnny Nolan practices at 11211 SE 82nd Ave Ste Z, Happy Valley, OR 97086. The listed phone number is (971) 432-7555.

What is Johnny Nolan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Johnny Nolan enrolled in Medicare?

Yes. Johnny Nolan 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.

Which organization bills Medicare for Johnny Nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Nolan reassigns Medicare benefits to The Vancouver Clinic Inc Ps (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnny Nolan accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Johnny Nolan 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 Johnny Nolan affiliated with any hospitals?

According to CMS data, Johnny Nolan is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Johnny Nolan was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.