Individual provider Active NPI

Meredith A Schledorn, P.A.

  • Physician Assistant
  • Vancouver, WA
National Provider Identifier
1265499651
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60449763 Issued in WA
Practice address
2121 NE 139TH St Ste 430
Vancouver, WA 98686-2316
Phone
(360) 487-1414
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA178408 OR
Physician Assistant 363A00000X 010972 NY
Physician Assistant 363A00000X PA60449763 WA Primary

Addresses

Primary practice location

2121 NE 139TH St Ste 430
Vancouver, WA 98686-2316

Mailing address

PO Box 2077
Portland, OR 97208-2077

Other identifiers 1

IdentifierTypeStateIssuer
02690393MedicaidNY

Other names 1

  • Meredith A Siegmund Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050826000629 NY Practitioner - Physician Assistant 7315978566 Reassigns benefits to 1 organization
I20141020000568 WA Practitioner - Physician Assistant 7315978566 Reassigns benefits to 1 organization
I20160809002837 OR Practitioner - Physician Assistant 7315978566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

1113 Nys Rte
Suite 13
Cortland, NY 13045-3542
Phone (607) 428-8004

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010972NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jul 11, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 11, 2016 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 11, 2016 Accepting new patients

Locations

2222 NW Lovejoy St
Ste 304
Portland, OR 97210
Phone (503) 274-4994

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2121 NE 139th St
Ste 430
Vancouver, WA 98686
Phone (360) 487-1414

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: mschledorn21700@direct.xtensys.com

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1265499651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST STE 430",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862316",
            "telephone_number": "360-487-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEDORN",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA178408",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010972",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60449763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "SIEGMUND",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.