KATHLEEN S PICKERING PAC
NPI 1629123302
Physician Assistant in The Dalles, OR

Active since January 24, 2007PECOS Enrolled
1620 E 12TH ST, THE DALLES, OR 97058(541) 296-9151(541) 296-4710 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen S Pickering Pac NPPES

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

KATHLEEN S PICKERING PAC (NPI 1629123302) is an individual physician assistant in The Dalles, Oregon, licensed in Oregon (PA01211) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629123302
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN S PICKERINGCredential: PAC
Location Address1620 E 12TH STThe Dalles, OR 97058
Mailing Address1750 12th StHood River, OR 97031-9540 · (541) 386-5070 · Fax (541) 386-7190
Fax(541) 296-4710
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateNovember 3, 2017
NPI 1629123302 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 · PA01211
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 469 (AK)
1620 E 12TH ST, The Dalles, OR 97058

Other Identifiers 3

Medicaid218112OR
Medicare OSCAR/certification383966OR
Medicare OSCAR/certification383997OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen S Pickering Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97058 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.

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.

Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Physician Assistant
1620 E 12TH ST
THE DALLES, OR 97058
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Physician Assistant (Medical)
1620 E 12TH ST
THE DALLES, OR 97058
Internal Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Pediatrics
1620 E 12TH ST
THE DALLES, OR 97058
Nurse Practitioner (Pediatrics)
1620 E 12TH ST, COLUMBIA HILLS FAMILY MEDICINE
THE DALLES, OR 97058
Nurse Practitioner (Family)
1620 E 12TH ST
THE DALLES, OR 97058

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 Kathleen Pickering's NPI number?

The NPI number for Kathleen Pickering is 1629123302. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Kathleen Pickering located?

Kathleen Pickering practices at 1620 E 12th St, The Dalles, OR 97058. The listed phone number is (541) 296-9151.

What is Kathleen Pickering's specialty?

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

Is Kathleen Pickering enrolled in Medicare?

Yes. Kathleen Pickering is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Pickering was last updated on November 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.