MS. SHAE NOELLE MONTEGNA PA-C
NPI 1245319169
Physician Assistant in Vancouver, WA

Q: What is Shae Montegna's NPI number?

The NPI number for Shae Montegna is 1245319169. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Ms. Shae Noelle Tangredi Pa-C.

Q: What is Shae Montegna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shae Montegna was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment

650 N DEVINE RD STE B, VANCOUVER, WA 98661(360) 952-4457(360) 828-7409 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Mar 17, 2018, May 13, 2016 (3 updates tracked since 2016).

On this page

About Ms. Shae Noelle Montegna Pa-c NPPES

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

MS. SHAE NOELLE MONTEGNA PA-C (NPI 1245319169) is an individual physician assistant in Vancouver, Washington, licensed in Oregon (PA00727) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245319169

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. SHAE NOELLE MONTEGNACredential: PA-C

Location Address650 N DEVINE RD STE BVancouver, WA 98661-6979

Mailing Address18 Nw 20th AveBattle Ground, WA 98604-4175 · (360) 952-4457 · Fax (360) 828-7409

Phone(360) 952-4457

Fax(360) 828-7409

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 2, 2006

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1245319169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA00727

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License OR PA00727 (OR)

650 N DEVINE RD STE B, Vancouver, WA 98661

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Other Names 1

Professional Name (2)Ms. Shae Noelle Tangredi Pa-c

Other Identifiers 3

Medicaid2003546WA

OtherP01252763OR · Rr Medicare (ph&s)

Medicaid500606847OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Ms. Shae Noelle Montegna 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 ID3173606241

PECOS Enrollment IDI20150820011411

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 2

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

Adventist Health Portland

Acute Care Hospitals · Portland, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380060

Location10123 SE Market StreetPortland, OR 97216 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98661 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 6

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

MS. KINDRA THERESA SCANLON FNP

Nurse Practitioner (Family)