STEPHANIE MCMAHON PA
NPI 1649944737
Physician Assistant in Portland, OR

Q: What is Stephanie Mcmahon's NPI number?

The NPI number for Stephanie Mcmahon is 1649944737. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Q: What is Stephanie Mcmahon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Mcmahon was last updated on August 3, 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.

Active since August 03, 2021PECOS Enrolled

6924 NE SANDY BLVD, PORTLAND, OR 97213(503) 660-4445 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie Mcmahon Pa NPPES

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

STEPHANIE MCMAHON PA (NPI 1649944737) is an individual physician assistant in Portland, Oregon and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649944737

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE MCMAHONCredential: PA

Location Address6924 NE SANDY BLVDPortland, OR 97213-5256

Mailing Address712 Harris Hill RdElmira, NY 14903-9305

Phone(503) 660-4445

Sole ProprietorNo

Enumeration DateAugust 3, 2021

NPPES CertifiedAugust 3, 2021

✔ NPI 1649944737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

6924 NE SANDY BLVD, Portland, OR 97213

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Mcmahon Pa 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 97213 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 15

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

PACIFIC CREST CHILDRENS URGENT CARE LLC

Clinic/Center (Urgent Care)