npidexNPI registry + Medicare data

ALYSSA PACE, PA-C

Medical Physician Assistant · PORTLAND, OR

Individual Active Opted out of Medicare NPI 1275527483

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Medical Physician Assistant363AM0700X✓PA00705OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Opted out of Medicare (Physician Assistant), effective 2021-08-10 through 2027-08-10.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.