Individual provider Active NPI

Michele Lee Stowe, PA

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1366788879
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA161369 Issued in OR
Practice address
330 S Garden Way
Suite 350
Eugene, OR 97401-8176
Phone
(541) 746-6816
Fax
(541) 726-3177
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA161369 OR Primary

Addresses

Primary practice location

330 S Garden Way
Suite 350
Eugene, OR 97401-8176

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 746-6816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130402000302 OR Practitioner - Physician Assistant 6305081969 Reassigns benefits to 1 organization
I20150702000542 WA Practitioner - Physician Assistant 6305081969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

13009 NE Hwy 99
Suite 109
Vancouver, WA 98686-2307
Phone (360) 667-5840

305 SE Chkalov Dr
Suite 170
Vancouver, WA 98683-5263
Phone (360) 799-3912

3425 SE 192ND Ave
Suite 106
Vancouver, WA 98683-1440
Phone (360) 205-2960

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jun 1, 2015 Accepting new patients
Peacehealth CurrentSince Jun 1, 2015 Accepting new patients
Legacy Clinics LLC CurrentSince May 16, 2016 Accepting new patients

Locations

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

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

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1366788879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-746-6816",
            "fax_number": "541-726-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARDEN WAY",
            "address_2": "SUITE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018176",
            "telephone_number": "541-746-6816",
            "fax_number": "541-726-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA161369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.