MRS. ANTONIA LARISSA GRAGG PA-C
NPI 1356658512
Physician Assistant in Portland, OR
About Mrs. Antonia Larissa Gragg Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANTONIA LARISSA GRAGG PA-C (NPI 1356658512) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA153285) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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. Antonia Larissa Gragg 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Antonia Gragg's NPI number?
The NPI number for Antonia Gragg is 1356658512. It was assigned to this individual provider in the NPPES registry on September 9, 2010. The provider is also known as Antonia Larissa Soiney Pa-C.
Where is Antonia Gragg located?
Antonia Gragg practices at 3303 SW Bond Ave Ch8n, Portland, OR 97239. The listed phone number is (503) 494-4314.
What is Antonia Gragg's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Antonia Gragg enrolled in Medicare?
Yes. Antonia Gragg 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 Antonia Gragg accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Antonia Gragg 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 Antonia Gragg affiliated with any hospitals?
According to CMS data, Antonia Gragg is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Antonia Gragg was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Antonia Larissa Gragg, PA-C · NPI 1356658512
Physician Assistant physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 9, 2010.
## Identity
- **NPI:** 1356658512 (Entity type: Individual)
- **Enumerated:** September 9, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA153285 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3303 SW BOND AVE, CH8N, Portland, OR 97239-4501
- **Phone:** (503) 494-4314 · **Fax:** (503) 346-6810
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 5, 2013
- **Other identifiers:** Medicaid 1356658512 (WA); Medicaid 500635914 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1356658512) · Data from the CMS NPPES public registry.