SANDRA DANIELLE FULKERSON SCHAEFFER MPH, PA-C
NPI 1790208619
Physician Assistant in Salem, OR

Q: What is Sandra Fulkerson Schaeffer's NPI number?

The NPI number for Sandra Fulkerson Schaeffer is 1790208619. It was assigned to this individual provider in the NPPES registry on July 23, 2017. The provider is also known as Sandra Danielle Fulkerson.

Q: What is Sandra Fulkerson Schaeffer's specialty?

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

Active since July 23, 2017PECOS EnrolledAccepts Medicare Assignment

1233 EDGEWATER ST NW, SALEM, OR 97304(503) 378-7526(503) 588-5815 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Jul 23, 2017 (2 updates tracked since 2017).

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About Sandra Danielle Fulkerson Schaeffer Mph, Pa-c NPPES

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

SANDRA DANIELLE FULKERSON SCHAEFFER MPH, PA-C (NPI 1790208619) is an individual physician assistant in Salem, Oregon and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1790208619

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSANDRA DANIELLE FULKERSON SCHAEFFERCredential: MPH, PA-C

Location Address1233 EDGEWATER ST NWSalem, OR 97304-4049

Mailing Address681 Center St NeSalem, OR 97301-3722 · (503) 588-5828 · Fax (503) 588-5852

Phone(503) 378-7526

Fax(503) 588-5815

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2017

Enumeration DateJuly 23, 2017

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1790208619 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.

1233 EDGEWATER ST NW, Salem, OR 97304

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Other Names 1

Former Name (1)Sandra Danielle Fulkerson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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

Sandra Danielle Fulkerson Schaeffer Mph, 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 ID1658637095

PECOS Enrollment IDI20171117000877

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.

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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 supplier12 claims12 services$215.65 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.

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