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TYRELL JAGELSKI PA-C
NPI 1346799632
Physician Assistant in Newberg, OR

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
1003 PROVIDENCE DR STE 110, NEWBERG, OR 97132(503) 537-5900 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2020, Jan 8, 2019, Sep 27, 2016 (3 updates tracked since 2016).

About Tyrell Jagelski Pa-c NPPES

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

TYRELL JAGELSKI PA-C (NPI 1346799632) is an individual physician assistant in Newberg, Oregon, licensed in Oregon (PA190255) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2018).

NPPES Registry Identity

NPI1346799632
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYRELL JAGELSKICredential: PA-C
Location Address1003 PROVIDENCE DR STE 110Newberg, OR 97132-7521
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 537-5900
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateSeptember 27, 2016
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1346799632 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 · PA190255
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.
1003 PROVIDENCE DR STE 110, Newberg, OR 97132
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Other Identifiers 1

Medicaid500754485OR

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

Tyrell Jagelski 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 ID7810233947
PECOS Enrollment IDI20190110003170
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97132 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 3

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
9 suppliers29 claims65 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims23 services$1.13 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
2 suppliers26 claims26 services$191.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JAECELLE GUADIZ GALENIECE MD
Family Medicine
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132
Yamhill County (503) 537-5900
ASHLEY R KELSO PA-C
Physician Assistant
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132
Yamhill County (503) 537-5900
BRENT D FISK PSYD
Psychologist (Clinical)
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132
Yamhill County (503) 537-5900

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 Tyrell Jagelski's NPI number?

The NPI number for Tyrell Jagelski is 1346799632. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Tyrell Jagelski located?

Tyrell Jagelski practices at 1003 Providence Dr Ste 110, Newberg, OR 97132. The listed phone number is (503) 537-5900.

What is Tyrell Jagelski's specialty?

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

Is Tyrell Jagelski enrolled in Medicare?

Yes. Tyrell Jagelski 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.

Is Tyrell Jagelski affiliated with any hospitals?

According to CMS data, Tyrell Jagelski is affiliated with Providence St Vincent Medical Center and Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Tyrell Jagelski was last updated on October 20, 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.