JACQUELINE VANCE PA-C
NPI 1790546828
Physician Assistant in Salem, OR

Q: What is Jacqueline Vance's NPI number?

The NPI number for Jacqueline Vance is 1790546828. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Q: What is Jacqueline Vance'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 Jacqueline Vance was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 16, 2024PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jacqueline Vance Pa-c NPPES

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

JACQUELINE VANCE PA-C (NPI 1790546828) is an individual physician assistant in Salem, Oregon and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Drexel University College Of Medicine (2023).

NPPES Registry Identity

NPI1790546828

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE VANCECredential: PA-C

Location Address1233 EDGEWATER ST NWSalem, OR 97304-4049

Mailing Address1233 Edgewater St NwSalem, OR 97304-4049

Phone(503) 378-7526

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2023

Enumeration DateJanuary 16, 2024

Last NPPES UpdateMay 10, 2024

NPPES CertifiedMay 10, 2024

✔ NPI 1790546828 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., 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

Jacqueline Vance 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 ID8022450329

PECOS Enrollment IDI20240531000185

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 2

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

West Valley Hospital

Critical Access Hospitals · Dallas, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381308

Location525 SE Washington StreetDallas, OR 97338 · Polk County

Emergency services

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.

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.

TAMMY COOK

Counselor (Mental Health)