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ELLA CLARK-NICHOLSON PA-C
NPI 1396817458
Physician Assistant - Medical in Portland, OR

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
3303 SW BOND AVE, PORTLAND, OR 97239(503) 494-8573(503) 494-3457 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ella Clark-nicholson Pa-c NPPES

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

ELLA CLARK-NICHOLSON PA-C (NPI 1396817458) is an individual medical provider in Portland, Oregon and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396817458
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELLA CLARK-NICHOLSONCredential: PA-C
Location Address3303 SW BOND AVEPortland, OR 97239-4501
Mailing Address3906 Sw Kanan DrPortland, OR 97221-3433 · (206) 617-4095
Phone(503) 494-8573
Fax(503) 494-3457
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 14, 2006
Last NPPES UpdateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1396817458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA01168 (OR)
3303 SW BOND AVE, Portland, OR 97239
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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

Ella Clark-nicholson 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 ID7012917446
PECOS Enrollment IDI20100924000875
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 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.

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.
120 services72 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.
37 services31 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.
14 services12 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.
12 services12 patients

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, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.71 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
1 supplier11 claims11 services$185.46 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 supplier12 claims12 services$123.73 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 20

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

DR. ALISON MARIE SMALL M.D.
Dermatology
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
THOMAS ALEXIS MOLLOY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (253) 272-7777
MISS ANGELINA MARIE CIAVARELLA PT
Physical Therapist (Neurology)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-3151
DR. JEFFREY DAVID WAGNER DNP, ARNP
Nurse Practitioner (Family)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-9400
JULIE ANNE LARSON RN-BSN
Registered Nurse (Ambulatory Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-4373
CHRISTOPHER WALTER RYAN MD
Internal Medicine (Medical Oncology)
3303 SW BOND AVE, 7TH FLOOR
PORTLAND, OR 97239
Multnomah County (503) 494-6594
DR. SHARON A KUBIK DNP, ACNP-BC, CCRN
Nurse Practitioner (Acute Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8417
JOHN CARL MORRISON MD
Ophthalmology (Glaucoma Specialist)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-3000

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 Ella Clark-nicholson's NPI number?

The NPI number for Ella Clark-nicholson is 1396817458. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Ella Clark-nicholson located?

Ella Clark-nicholson practices at 3303 SW Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-8573.

What is Ella Clark-nicholson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ella Clark-nicholson enrolled in Medicare?

Yes. Ella Clark-nicholson 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 Ella Clark-nicholson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ella Clark-nicholson 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 Ella Clark-nicholson affiliated with any hospitals?

According to CMS data, Ella Clark-nicholson is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Ella Clark-nicholson was last updated on February 8, 2021. 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.