MS. SHALYN M VANDERBLOEMEN PA-C
NPI 1861620114
Physician Assistant in Portland, OR

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
2222 NW LOVEJOY ST STE 606, PORTLAND, OR 97210(503) 413-5915 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Jun 24, 2024, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Shalyn M Vanderbloemen Pa-c NPPES

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

MS. SHALYN M VANDERBLOEMEN PA-C (NPI 1861620114) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA223210) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1861620114
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SHALYN M VANDERBLOEMENCredential: PA-C
Location Address2222 NW LOVEJOY ST STE 606Portland, OR 97210-5104
Mailing AddressPo Box 3808Portland, OR 97208-3808
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1861620114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OR · PA223210 Licensed in TN · 4402
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.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 4402 (TN)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4402 (TN)
2222 NW LOVEJOY ST STE 606, Portland, OR 97210

Secondary Practice Locations 2

Location 1777 Park Ave WHighland Park, IL 60035-2433 · Phone (847) 432-8000
Location 23601 The Vanderbilt ClinicNashville, TN 37232-2433 · Phone (615) 322-3000

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

Ms. Shalyn M Vanderbloemen 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 ID4385797406
PECOS Enrollment IDI20250417002265
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant
2222 NW LOVEJOY ST STE 606
PORTLAND, OR 97210
Specialist
2222 NW LOVEJOY ST STE 606
PORTLAND, OR 97210

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 Shalyn Vanderbloemen's NPI number?

The NPI number for Shalyn Vanderbloemen is 1861620114. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Shalyn Vanderbloemen located?

Shalyn Vanderbloemen practices at 2222 NW Lovejoy St Ste 606, Portland, OR 97210. The listed phone number is (503) 413-5915.

What is Shalyn Vanderbloemen's specialty?

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

Is Shalyn Vanderbloemen enrolled in Medicare?

Yes. Shalyn Vanderbloemen 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 Shalyn Vanderbloemen accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shalyn Vanderbloemen 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.

When was this NPI record last updated?

The NPPES record for Shalyn Vanderbloemen was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.