Individual provider Active NPI

Natalie Jane Maughan, PA

  • Physician Assistant
  • Lebanon, OR
National Provider Identifier
1043081375
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA218205 Issued in OR
Practice address
35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone
(541) 451-7915
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA218205 OR Primary

Addresses

Primary practice location

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmaughan291326@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002546 OR Practitioner - Physician Assistant 5193163012

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, shared by 8 NPIs, 128 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

114 SE Church St
Sublimity, OR 97385-9714
Phone (503) 769-2259

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

Hospital & facility affiliations

  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA218205ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince May 13, 2024 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince May 13, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince May 13, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince May 13, 2024 Accepting new patients
Albany General Hospital CurrentSince May 13, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince May 13, 2024 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

35 Mullins Dr
Ste 2
Lebanon, OR 97355
Phone (541) 451-7915

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1043081375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MULLINS DR STE 2",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553985",
            "telephone_number": "541-451-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "NATALIE",
        "middle_name": "JANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA218205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmaughan291326@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "35 Mullins Dr Ste 2",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973553985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.