MRS. MANDY MELISSA WILLIAMS PA-C
NPI 1841472065
Physician Assistant - Surgical in Portland, OR

Q: What is Mandy Williams's NPI number?

The NPI number for Mandy Williams is 1841472065. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Q: What is Mandy Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Williams was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2007PECOS EnrolledAccepts Medicare Assignment

265 N BROADWAY, PORTLAND, OR 97227(503) 280-1223(503) 528-5252 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Mandy Melissa Williams Pa-c NPPES

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

MRS. MANDY MELISSA WILLIAMS PA-C (NPI 1841472065) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA01310) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1841472065

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. MANDY MELISSA WILLIAMSCredential: PA-C

Location Address265 N BROADWAYPortland, OR 97227-1800

Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1309

Phone(503) 280-1223

Fax(503) 528-5252

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 29, 2007

Last NPPES UpdateSeptember 18, 2018

✔ NPI 1841472065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA01310

265 N BROADWAY, Portland, OR 97227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, 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

Mrs. Mandy Melissa Williams 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 ID6901996321

PECOS Enrollment IDI20071221000047, I20171204001226

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

52 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 8

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

KIRI ANN COOK MD

Radiology (Radiation Oncology)