Alyssa Rachael Pace, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00705 Issued in OR

Practice address

5050 NE Hoyt St Ste B55
Portland, OR 97213-2957

Phone

(503) 233-5393

Fax

(503) 659-8984

NPI assigned

Sep 1, 2005

Last updated

Dec 3, 2018By 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

Other identifiers 1

Other names 1

• Alyssa Rachael Lenhart Former name

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 Aug 10, 2021 through Aug 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apace15114@direct.lhs.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.

• Oregon Pediatrics NE Portland PC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1366488090
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1275527483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE B55",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132957",
            "telephone_number": "503-233-5393",
            "fax_number": "503-659-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE B55",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132957",
            "telephone_number": "503-233-5393",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8645 SE Sunnybrook Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156841",
            "country_code": "US",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "ALYSSA",
        "middle_name": "RACHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085258",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "LENHART",
            "middle_name": "RACHAEL",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mason C Paas, MD
• Philip Paasch, RPH
• Henry Pablo, RN
• Pac Dental
• Pace Pediatric Therapy, Inc.
• Lisa Pace, MA
• Martha Pace, ND
• Melody Pace, L.M.T.
• Sandra K Pace, MSW, CSWA
• Stevie Vera Pace

• Medical Physician Assistant in Portland, OR
• Providers in Portland, 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 Dec 3, 2018; 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.