Active NPI
Holly Bliss Tumelson, PA-C
- Physician Assistant
- Hood River, OR
National Provider Identifier
1134409162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA153245
- Practice address
- 1010 10TH St
Hood River, OR 97031-1565 - Phone
- (541) 386-9500
- Fax
- (541) 386-9500
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA153245 | OR | Primary |
Addresses
Primary practice location
1010 10TH St
Hood River, OR 97031-1565
Mailing address
1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500
Other practice location 1
236 E Newport Ave
Hermiston, OR 97838-2449
Phone (541) 567-1137
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223149 | Medicaid | OR | |
| OR1807 | Other | HEALTH NET | |
| 080385000 | Other | OR | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500
Hospital & facility affiliations
- Mid-Columbia Medical Center
- Providence Hood River Memorial Hospital
- St Anthony Hospital
- Good Shepherd Medical Center
- Skyline Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.97 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 64.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Pain Management, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Hood River, OR
- NPI 1477670172
-
- Interventional Pain Medicine Physician
- Hood River, OR
- NPI 1669670238
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
dba Adventist Health Columbia Gorge
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1134409162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 10TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311565",
"telephone_number": "541-386-9500",
"fax_number": "541-386-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 10TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311565",
"telephone_number": "541-386-9500",
"fax_number": "541-386-9500"
}
],
"practiceLocations": [
{
"address_1": "236 E Newport Ave",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978382449",
"country_code": "US",
"telephone_number": "541-567-1137",
"fax_number": "541-567-2336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUMELSON",
"first_name": "HOLLY",
"middle_name": "BLISS",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA153245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "223149",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OR1807",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "080385000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.