NICOLE L DUSENBURY PA-C
NPI 1982925301
Physician Assistant in Salem, OR

Q: What is Nicole Dusenbury's NPI number?

The NPI number for Nicole Dusenbury is 1982925301. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Q: What is Nicole Dusenbury's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Dusenbury was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment

5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306(035) 391-1110(503) 370-4237 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, May 7, 2021 (2 updates tracked since 2021).

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About Nicole L Dusenbury Pa-c NPPES

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

NICOLE L DUSENBURY PA-C (NPI 1982925301) is an individual physician assistant in Salem, Oregon, licensed in Oregon (PA207501) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1982925301

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE L DUSENBURYCredential: PA-C

Location Address5050 SKYLINE VILLAGE LOOP SSalem, OR 97306-9490

Mailing Address5050 Skyline Village Loop SSalem, OR 97306-9490 · (035) 391-1110

Phone(035) 391-1110

Fax(503) 370-4237

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 21, 2010

Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration

NPPES CertifiedJuly 11, 2022

✔ NPI 1982925301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OR · PA207501✔ Licensed in NY · 014584-1✔ Licensed in PA · MA054809✔ Licensed in HI · AMD -- 581

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.

5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306

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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 L Dusenbury 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 ID1759415375

PECOS Enrollment IDI20240604004529

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.

75 services62 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

33 services33 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.

19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330058

Location196 -198 North StreetGeneva, NY 14456 · Ontario County

Emergency services

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331314

Location418 North Main StreetPenn Yan, NY 14527 · Yates County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97306 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

Other Providers at the Same Location NPPES 20

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

JOSEPH J THALER MD

Internal Medicine