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ANDREW TISTADT PA-C
NPI 1831269265
Physician Assistant - Medical in West Linn, OR

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
21810 WILLAMETTE DR STE 200, WEST LINN, OR 97068(503) 994-4353(503) 722-5100 Get Directions Write a Review

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

Record update history: Mar 12, 2026, Jun 12, 2025, Sep 20, 2021 and 3 more (6 updates tracked since 2016).

About Andrew Tistadt Pa-c NPPES

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

ANDREW TISTADT PA-C (NPI 1831269265) is an individual medical provider in West Linn, Oregon, licensed in Oregon (PA01174) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831269265
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANDREW TISTADTCredential: PA-C
Location Address21810 WILLAMETTE DR STE 200West Linn, OR 97068-3287
Mailing Address21810 Willamette Dr Ste 200West Linn, OR 97068-3287 · (503) 994-4353 · Fax (503) 722-5100
Phone(503) 994-4353
Fax(503) 722-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1831269265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA01174
21810 WILLAMETTE DR STE 200, West Linn, OR 97068
Open in Google Maps ↗

Other Identifiers 1

Medicaid500622688OR

Accepted Insurance

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

Andrew Tistadt 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 ID7517967953
PECOS Enrollment IDI20070108000520
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

DR. KARA R JOHANSEN PSYD
Psychologist (Clinical)
21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068
Clackamas County (503) 994-4353
DR. MICHAEL G. SHERMAN M.D.
Internal Medicine
21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068
Clackamas County (503) 994-4353
MARY FRANCES CONEDERA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068
Clackamas County (503) 994-4353

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 Andrew Tistadt's NPI number?

The NPI number for Andrew Tistadt is 1831269265. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Andrew Tistadt located?

Andrew Tistadt practices at 21810 Willamette Dr Ste 200, West Linn, OR 97068. The listed phone number is (503) 994-4353.

What is Andrew Tistadt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andrew Tistadt enrolled in Medicare?

Yes. Andrew Tistadt 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 Andrew Tistadt accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Andrew Tistadt 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 Andrew Tistadt affiliated with any hospitals?

According to CMS data, Andrew Tistadt is affiliated with Ohsu Hospital And Clinics, Providence Willamette Falls Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Tistadt was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.