1. Home
  2. Directory
  3. Oregon
  4. Corvallis
  5. Physician Assistant
  6. NPI Profile

NICOLE DIANNE WYDRA PA-C
NPI 1962514836
Physician Assistant - Medical in Corvallis, OR

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
99.09/100
CMS Quality Rating
1740 NW 9TH ST, CORVALLIS, OR 97330(541) 230-1350(541) 207-3477 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Dianne Wydra Pa-c NPPES

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

NICOLE DIANNE WYDRA PA-C (NPI 1962514836) is an individual medical provider in Corvallis, Oregon, licensed in Oregon (PA153450) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and is a graduate of Loma Linda University School Of Medicine (2010).

NPPES Registry Identity

NPI1962514836
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE DIANNE WYDRACredential: PA-C
Location Address1740 NW 9TH STCorvallis, OR 97330-2141
Mailing Address1740 Nw 9th StCorvallis, OR 97330-2141
Phone(541) 230-1350
Fax(541) 207-3477
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2010
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 3, 2015
✔ NPI 1962514836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA153450
Also ListedPhysician AssistantTaxonomy 363A00000X
1740 NW 9TH ST, Corvallis, OR 97330
Open in Google Maps ↗

Other Identifiers 1

Medicaid500617735OR

Accepted Insurance

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

Nicole Dianne Wydra 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 ID4789868480
PECOS Enrollment IDI20110404000845
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 13

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 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.
390 services331 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
353 services116 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
211 services184 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
136 services126 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
129 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
124 services124 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn 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.

99.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.18
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
37%480 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,596 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
1%721 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%1,779 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
36%480 patients2/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%1,779 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,779 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
69%300 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 480 patients
0%480 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

BRUNE DERMATOLOGY, LLC
Dermatology
1740 NW 9TH ST
CORVALLIS, OR 97330
Benton County (541) 230-1350

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 Nicole Wydra's NPI number?

The NPI number for Nicole Wydra is 1962514836. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Nicole Wydra located?

Nicole Wydra practices at 1740 NW 9th St, Corvallis, OR 97330. The listed phone number is (541) 230-1350.

What is Nicole Wydra's specialty?

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

Is Nicole Wydra enrolled in Medicare?

Yes. Nicole Wydra 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 Nicole Wydra accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicole Wydra 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 Nicole Wydra affiliated with any hospitals?

According to CMS data, Nicole Wydra is affiliated with Samaritan Albany General Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Wydra was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.