Active NPI
Nathan Colbert Showalter, PA-C
- Physician Assistant
- Springfield, OR
National Provider Identifier
1427787746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA218346
- Practice address
- 1435 G St
Springfield, OR 97477-4113 - Phone
- (541) 735-9420
- Fax
- (541) 747-9870
- NPI assigned
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1214644 | ID | |
| Physician Assistant | 363A00000X | PA218346 | OR | Primary |
Addresses
Primary practice location
1435 G St
Springfield, OR 97477-4113
Mailing address
PO Box 163
Springfield, OR 97477-0024
Phone (541) 735-9420
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1435 G St
Springfield, OR 97477-4113
Phone (541) 735-9420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1214644 | ID | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Clinic/Center
- Springfield, OR
- NPI 1730734161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1427787746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974770024",
"telephone_number": "541-735-9420",
"fax_number": "541-747-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 G ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774113",
"telephone_number": "541-735-9420",
"fax_number": "541-747-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOWALTER",
"first_name": "NATHAN",
"middle_name": "COLBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "1214644",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA218346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.