TIFFANY NICKERSON
NPI 1336693605
Physician Assistant in Hermiston, OR

Q: What is Tiffany Nickerson's NPI number?

The NPI number for Tiffany Nickerson is 1336693605. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Q: What is Tiffany Nickerson'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 Tiffany Nickerson was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment

589 NW 11TH ST, HERMISTON, OR 97838(541) 567-1717(541) 564-5994 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tiffany Nickerson NPPES

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

TIFFANY NICKERSON (NPI 1336693605) is an individual physician assistant in Hermiston, Oregon, licensed in Oregon (PA179818) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336693605

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTIFFANY NICKERSON

Location Address589 NW 11TH STHermiston, OR 97838-6600

Mailing Address589 Nw 11th StHermiston, OR 97838-6600 · (541) 567-1717 · Fax (541) 564-5994

Phone(541) 567-1717

Fax(541) 564-5994

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 4, 2016

Last NPPES UpdateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1336693605 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 · PA179818

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.

589 NW 11TH ST, Hermiston, OR 97838

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Accepted Insurance

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

Tiffany Nickerson 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 ID3779861059

PECOS Enrollment IDI20161021000863

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.

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381319

Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County

Emergency services Birthing friendly

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381325

Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97838 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers33 claims80 services$5.61 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier19 claims19 services$5.66 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier20 claims21 services$12.14 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims1,466 services$0.01 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers34 claims34 services$191.16 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier20 claims20 services$212.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

ALFREDO ALVAREZ-FRIAS RDN

Dietitian, Registered