Cody Ryan Cantrell, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA210353 Issued in OR

Practice address

2445 Beverly St Ste B
Springfield, OR 97477-1910

Phone

(541) 780-6654

NPI assigned

Mar 9, 2021

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtual Visit LLCGroup PAC ID 7810386398, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.68 of 100Reported as group

Quality

73.02

Promoting interoperability

80

Improvement activities

40

Cost

85.92

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccantrel@yourcarecommunity.org
• FHIR API: https://fhir4.healow.com/fhir/r4/GFFGDD/Endpoint/GFFGDD

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.

• Lonerock Clinic LLC

  dba Mind Med Mental Health

  • Adult Mental Health Clinic/Center
  • Eugene, OR
  • NPI 1366105199
  Medicare reassignment Care Compare group
• Pacific Sports and Interventional Spine, LLC

  dba Pacific Sports and Spine

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1881186336

  Physician Assistant

  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1285219428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BEVERLY ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771910",
            "telephone_number": "541-780-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 BEVERLY ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771910",
            "telephone_number": "541-780-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "CODY",
        "middle_name": "RYAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA210353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "PA210353",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Bennett Campiche, DO
• Mia Camuso
• Alycia Canavan, M.A., CCC-SLP
• Michelle Cannavino
• Paige E Cannon, RN
• Lorretta Lynne Cantwell, RN
• Olivia Morgan Capel, PA-C
• Priya Joseph Carden, MD
• Caring Hand to Mouth
• Jennifer Carlin

• Physician Assistant in Springfield, OR
• Providers in Springfield, 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 23, 2026; 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.