Joel Myers, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

17054 Indio Rd #4931
Bend, OR 97707

Phone

(541) 203-3110

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

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.

• Orchid Oakridge Clinic, P.C.

  • Rural Health Clinic/Center
  • Oakridge, OR
  • NPI 1588088983
  NPD (past)
• Orchid Oakridge Clinic, PC

  • Family Medicine Physician
  • Sandy, OR
  • NPI 1417098773
  NPD (past)
• Commonwealth Emergency Physicians PC

  • Physician Assistant
  • Leesburg, VA
  • NPI 1366061574
  NPD (past)
• Commonwealth Emergency Physicians PC

  • Emergency Medicine Physician
  • Leesburg, VA
  • NPI 1598723082
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1073540969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4931",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977074931",
            "telephone_number": "541-203-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17054 INDIO RD #4931",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-203-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "PA01053",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PA01053",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606276",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEP",
            "identifier": "MY1970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mustang Magic Equine Therapy Services, LLC
• My Hearing Centers, LLC
• Myers Neurofeedback & Counseling, LLC
• Bethany Ann Myers, PA
• Jamie Myers, CADC I, CRM, PSS
• Kelly Ann Myers
• Maddison Myers
• Melissa Myers, MPH
• Nancy Anne Myers, LCSW
• Sheila Marguerita Myers, N.D., L.AC.

• Medical Physician Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.