TANA KORNACHUK PA-C
NPI 1922463645
Physician Assistant - Medical in Woodburn, OR

Active since December 22, 2015PECOS Enrolled
2902 TOM TENNANT DR, WOODBURN, OR 97071(971) 345-4767 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Feb 3, 2023, Dec 22, 2015 (3 updates tracked since 2015).

About Tana Kornachuk Pa-c NPPES

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

TANA KORNACHUK PA-C (NPI 1922463645) is an individual medical provider in Woodburn, Oregon, licensed in Oregon (PA223291) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1922463645
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTANA KORNACHUKCredential: PA-C
Location Address2902 TOM TENNANT DRWoodburn, OR 97071-2828
Mailing Address1638 Owen DrFayetteville, NC 28304-3424
Sole ProprietorNo
Enumeration DateDecember 22, 2015
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1922463645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in OR · PA223291 Licensed in NC · 0010-06117
Also ListedPhysician AssistantTaxonomy 363A00000X · License 55810 (MT)
2902 TOM TENNANT DR, Woodburn, OR 97071

Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4000

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 (PECOS)

Tana Kornachuk Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Clinic/Center (Rural Health)
2902 TOM TENNANT DR
WOODBURN, OR 97071
Nurse Practitioner (Family)
2902 TOM TENNANT DR
WOODBURN, OR 97071
Nurse Practitioner (Family)
2902 TOM TENNANT DR
WOODBURN, OR 97071

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 Tana Kornachuk's NPI number?

The NPI number for Tana Kornachuk is 1922463645. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Tana Kornachuk located?

Tana Kornachuk practices at 2902 Tom Tennant Dr, Woodburn, OR 97071. The listed phone number is (971) 345-4767.

What is Tana Kornachuk's specialty?

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

Is Tana Kornachuk enrolled in Medicare?

Yes. Tana Kornachuk is registered in the Medicare PECOS enrollment system.

What insurance does Tana Kornachuk accept?

Health plans from Providence Health Plan list Tana Kornachuk 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 Tana Kornachuk was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.