MRS. KRISTINA MARIE DWYHALO MSPA
NPI 1346676186
Physician Assistant in Clackamas, OR

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-4222 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kristina Marie Dwyhalo Mspa NPPES

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

MRS. KRISTINA MARIE DWYHALO MSPA (NPI 1346676186) is an individual physician assistant in Clackamas, Oregon, licensed in Oregon (PA170407) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346676186
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KRISTINA MARIE DWYHALOCredential: MSPA
Location Address9900 SE SUNNYSIDE RDClackamas, OR 97015-9777
Mailing Address9900 Se Sunnyside RdClackamas, OR 97015-9777 · (503) 571-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 25, 2013
Last NPPES UpdateJanuary 16, 2015
NPI 1346676186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OR · PA170407 Licensed in WA · PA60514736
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.
9900 SE SUNNYSIDE RD, Clackamas, OR 97015

Other Names 1

Former Name (1)Miss Kristina Marie Mccoy Mspa

Other Identifiers 1

Medicaid857733AZ

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

Mrs. Kristina Marie Dwyhalo Mspa 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 ID4183851124
PECOS Enrollment IDI20150604000370
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Nephrology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dermatology
9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015
Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Physician Assistant (Medical)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Counselor (Mental Health)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Gastroenterology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dietitian, Registered
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

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 Kristina Dwyhalo's NPI number?

The NPI number for Kristina Dwyhalo is 1346676186. It was assigned to this individual provider in the NPPES registry on September 25, 2013. The provider is also known as Miss Kristina Marie Mccoy Mspa.

Where is Kristina Dwyhalo located?

Kristina Dwyhalo practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-4222.

What is Kristina Dwyhalo's specialty?

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

Is Kristina Dwyhalo enrolled in Medicare?

Yes. Kristina Dwyhalo 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 Kristina Dwyhalo accept?

Health plans from Kaiser Permanente list Kristina Dwyhalo 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.

When was this NPI record last updated?

The NPPES record for Kristina Dwyhalo was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.