Individual provider Active NPI

Sagen Castellanos Olson, PA-C

  • Medical Physician Assistant
  • Eugene, OR
National Provider Identifier
1376884304
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
169708 Issued in OR
Practice address
520 Country Club
Eugene, OR 97401-6036
Phone
(541) 683-5001
Fax
(541) 683-1422
NPI assigned
Mar 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 169708 OR Primary

Addresses

Primary practice location

520 Country Club
Eugene, OR 97401-6036

Mailing address

520 Country Club
Eugene, OR 97401-6036
Phone (541) 683-5001

Other identifiers 1

IdentifierTypeStateIssuer
500616351MedicaidOR

Other names 1

  • Sagen Castellanos Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118002013 OR Practitioner - Physician Assistant 7113149618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

520 Country Club Pkwy
Eugene, OR 97401-6043
Phone (541) 683-5001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169708ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Associates of Oregon P C CurrentSince Feb 15, 2021 Accepting new patients

Locations

520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948

3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712

Interoperability endpoints

  • Direct secure messaging: solson12@yourcarecommunity.org
  • Direct secure messaging: sagen.olson@wvci.ikm.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1376884304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SAGEN",
        "middle_name": "CASTELLANOS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "169708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616351",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAGEN",
            "last_name": "CASTELLANOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.