MR. ALEXANDER JOHN NYDAHL PA-C
NPI 1891105045
Physician Assistant - Medical in Portland, OR

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD # BTE119, OHSU DIVISION OF HOSPITAL MEDICINE, PORTLAND, OR 97239(503) 494-1164 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2020, Sep 30, 2015 (2 updates tracked since 2015).

About Mr. Alexander John Nydahl Pa-c NPPES

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

MR. ALEXANDER JOHN NYDAHL PA-C (NPI 1891105045) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA172286) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Oregon Health Sciences University School Of Medicine (2015).

NPPES Registry Identity

NPI1891105045
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ALEXANDER JOHN NYDAHLCredential: PA-C
Location Address3181 SW SAM JACKSON PARK RD # BTE119, OHSU DIVISION OF HOSPITAL MEDICINEPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd, Bte119Portland, OR 97239-3011 · (503) 494-8311
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015
Enumeration DateApril 28, 2014
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
NPI 1891105045 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 · PA172286
3181 SW SAM JACKSON PARK RD # BTE119, Portland, OR 97239

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

Mr. Alexander John Nydahl 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 ID7719296706
PECOS Enrollment IDI20151013001856
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$784.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Adult Health)
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Physician Assistant (Medical)
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Hospitalist
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Hospitalist
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Hospitalist
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Hospitalist
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD # BTE119
PORTLAND, OR 97239
Physician Assistant (Medical)
3181 SW SAM JACKSON PARK RD # BTE119, DIVISION OF HOSPITAL MEDICINE
PORTLAND, OR 97239

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 Alexander Nydahl's NPI number?

The NPI number for Alexander Nydahl is 1891105045. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Alexander Nydahl located?

Alexander Nydahl practices at 3181 SW Sam Jackson Park Rd # Bte119 Ohsu Division Of Hospital Medicine, Portland, OR 97239. The listed phone number is (503) 494-1164.

What is Alexander Nydahl's specialty?

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

Is Alexander Nydahl enrolled in Medicare?

Yes. Alexander Nydahl 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 Alexander Nydahl accept?

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

According to CMS data, Alexander Nydahl is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Alexander Nydahl was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.