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SHEA MERTENS DEKLOTZ PA-C
NPI 1679819239
Physician Assistant - Surgical in Portland, OR

Active since December 28, 2012PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-4314(503) 346-6810 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shea Mertens Deklotz Pa-c NPPES

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

SHEA MERTENS DEKLOTZ PA-C (NPI 1679819239) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA159893) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of George Washington University School Of Medicine (2012).

NPPES Registry Identity

NPI1679819239
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHEA MERTENS DEKLOTZCredential: PA-C
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · Fax (503) 346-8015
Phone(503) 494-4314
Fax(503) 346-6810
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2012
Enumeration DateDecember 28, 2012
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1679819239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA159893
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA159893 (OR)
3303 S BOND AVE, Portland, OR 97239
Open in Google Maps ↗

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

Shea Mertens Deklotz 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 ID7416101480
PECOS Enrollment IDI20130129000548
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.

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

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.

CHERYL STOMBERG FNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-6594
KIT MIRANDA
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-5947
MRS. LINDSAY EVELYN WYANT PAC
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8510
MS. STEFANIE ANN BROWN L.C.S.W.
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1775
DR. MELISSA DANIELLE ADAIR ARNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
EMMA MARIANE JONES
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8573
EMMA JO NEUMANN
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-7730
MICHAEL ZATT
Psychiatry & Neurology (Neurology)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-7772

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 Shea Deklotz's NPI number?

The NPI number for Shea Deklotz is 1679819239. It was assigned to this individual provider in the NPPES registry on December 28, 2012.

Where is Shea Deklotz located?

Shea Deklotz practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-4314.

What is Shea Deklotz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shea Deklotz enrolled in Medicare?

Yes. Shea Deklotz 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 Shea Deklotz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Shea Deklotz 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 Shea Deklotz affiliated with any hospitals?

According to CMS data, Shea Deklotz is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Shea Deklotz was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.