AUDREY RAYNE ANDERSON PA-C
NPI 1366065427
Physician Assistant in Beaverton, OR

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
12345 SW HORIZON BLVD STE 57, BEAVERTON, OR 97007(503) 216-8820 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, Jan 19, 2023, May 24, 2020 (3 updates tracked since 2020).

About Audrey Rayne Anderson Pa-c NPPES

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

AUDREY RAYNE ANDERSON PA-C (NPI 1366065427) is an individual physician assistant in Beaverton, Oregon, licensed in Oregon (PA213477) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Scappoose.

NPPES Registry Identity

NPI1366065427
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUDREY RAYNE ANDERSONCredential: PA-C
Location Address12345 SW HORIZON BLVD STE 57Beaverton, OR 97007-9475
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 24, 2020
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1366065427 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 · PA213477
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 PA213477 (OR)
12345 SW HORIZON BLVD STE 57, Beaverton, OR 97007

Secondary Practice Location 1

Location 151377 SW Old Portland RdScappoose, OR 97056-4023 · Phone (503) 418-4222

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

Audrey Rayne Anderson 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 ID9133597065
PECOS Enrollment IDI20221123002244
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services22 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97007 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.

Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Registered Nurse (Women's Health Care, Ambulatory)
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Occupational Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007
Physical Therapist
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007

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 Audrey Anderson's NPI number?

The NPI number for Audrey Anderson is 1366065427. It was assigned to this individual provider in the NPPES registry on May 24, 2020.

Where is Audrey Anderson located?

Audrey Anderson practices at 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007. The listed phone number is (503) 216-8820.

What is Audrey Anderson's specialty?

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

Is Audrey Anderson enrolled in Medicare?

Yes. Audrey Anderson 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 Audrey Anderson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Audrey Anderson 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 Audrey Anderson affiliated with any hospitals?

According to CMS data, Audrey Anderson is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Audrey Anderson was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.