Lindsay Rose Iannone, PA-C, MSPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA220451 Issued in OR

Practice address

1010 1St St SE Ste 110
Bandon, OR 97411-9301

Phone

(541) 347-2529

Fax

(541) 347-9196

NPI assigned

Aug 1, 2023

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bandon Community Health CenterGroup PAC ID 1557416757, 5 clinicians

AdaptGroup PAC ID 4587662887, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304
• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: liannone756208@direct.ochin.org

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

• Adapt

  • Addiction (Substance Use Disorder) Counselor
  • Roseburg, OR
  • NPI 1720010549
  Medicare reassignment Care Compare group NPD
• Bandon Community Health Center

  • Primary Care Clinic/Center
  • Bandon, OR
  • NPI 1033348289
  Medicare reassignment Care Compare group NPD
• Adapt

  dba Adapt Integrated Health Care

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1184350811
  NPD
• Adapt

  dba Adapt Integrated Health Care

  • Federally Qualified Health Center (FQHC)
  • Bandon, OR
  • NPI 1194529289
  NPD
• Bandon Community Health Ctr

  dba Coast Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Port Orford, OR
  • NPI 1013587484
  NPD
• Adapt

  dba SouthRiver Medical Clinic aka: SouthRiver Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Winston, OR
  • NPI 1912061755
  NPD (past)

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

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation
• Southern Coos Health District

  • Critical Access Hospital
  • Bandon, OR
  • NPI 1588684484
  Care Compare affiliation

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1053093963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 110",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119301",
            "telephone_number": "541-347-2529",
            "fax_number": "541-347-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 110",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119301",
            "telephone_number": "541-347-2529",
            "fax_number": "541-347-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNONE",
        "first_name": "LINDSAY",
        "middle_name": "ROSE",
        "credential": "PA-C, MSPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA220451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjory Robertson Hausler
• Mary Ann Hawkins, LMT
• Courtney V Hiebing, PT
• Henry H. Holmes, M.D.
• Michael Hurston, OT
• Taylor David Jarding
• Jessica Juliano, DPT
• Kathleen Marie Kelly, CRNA, RN
• Kara Knight, LMT
• Nicholas Robert Kovacs, MD

• Physician Assistant in Bandon, OR
• Providers in Bandon, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.