IVY NICOLE TUELLER PA
NPI 1790268209
Physician Assistant - Surgical in Hermiston, OR
About Ivy Nicole Tueller Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY NICOLE TUELLER PA (NPI 1790268209) is an individual surgical provider in Hermiston, Oregon, licensed in Oregon (PA218318) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Good Shepherd Medical Center, and is a graduate of Mercy College (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ivy Nicole Tueller Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Shepherd Medical Center
Critical Access Hospitals · Hermiston, OROther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERMISTON, OR 97838
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 Ivy Tueller's NPI number?
The NPI number for Ivy Tueller is 1790268209. It was assigned to this individual provider in the NPPES registry on September 11, 2018.
Where is Ivy Tueller located?
Ivy Tueller practices at 620 NW 11th St Ste M206, Hermiston, OR 97838. The listed phone number is (541) 667-3804.
What is Ivy Tueller's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Ivy Tueller enrolled in Medicare?
Yes. Ivy Tueller 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 Ivy Tueller accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ivy Tueller 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 Ivy Tueller affiliated with any hospitals?
According to CMS data, Ivy Tueller is affiliated with Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Ivy Tueller was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ivy Nicole Tueller, PA · NPI 1790268209
Surgical physician in Hermiston, Oregon. Individual provider, active in the CMS NPPES registry since September 11, 2018.
## Identity
- **NPI:** 1790268209 (Entity type: Individual)
- **Enumerated:** September 11, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA218318 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 NW 11TH ST STE M206, Hermiston, OR 97838-6941
- **Phone:** (541) 667-3804 · **Fax:** (541) 667-0192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Mercy College, class of 2018
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790268209) · Data from the CMS NPPES public registry.