Individual provider Active NPI

Marc Christopher Trautmann, PA-C

  • Physician Assistant
  • Newport, OR
National Provider Identifier
1447086830
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA222661 Issued in OR
Practice address
36 SW Nye St
Newport, OR 97365-3821
Phone
(541) 265-4947
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 PA222661 OR Primary

Addresses

Primary practice location

36 SW Nye St
Newport, OR 97365-3821

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other practice location 1

525 N Bay St
Waldport, OR 97394-9010
Phone (541) 265-4947

Other practice location 2

1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone (541) 265-4947

Other identifiers 1

IdentifierTypeStateIssuer
500848722MedicaidOR

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
I20241113001472 OR Practitioner - Physician Assistant 8527592575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LincolnGroup PAC ID 3375439862, 28 clinicians

Practice addresses (Care Compare)

1105 SE Jetty Ave
Suite C
Lincoln City, OR 97367-2604
Phone (541) 265-4947

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-4947

36 Swnye St
Newport, OR 97365-3821

Hospital & facility affiliations

  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA222661ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln CurrentSince Dec 30, 2024 Accepting new patients
County of Lincoln CurrentSince Dec 30, 2024 Accepting new patients
County of Lincoln Past Accepting new patients

Locations

1105 SE Jetty Ave
Ste C
Lincoln City, OR 97367
Phone (503) 965-6555

3780 SE Spy Glass Ridge Dr
Lincoln City, OR 97367
Phone (541) 265-0474

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

322 NE Eads St
Newport, OR 97365
Phone (541) 265-0472

1800 NE Sturdevant Rd
Toledo, OR 97391
Phone (541) 265-0445

525 N Bay St
Waldport, OR 97394
Phone (541) 265-4947

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1447086830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Bay St",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949010",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 SE Jetty Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973672604",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUTMANN",
        "first_name": "MARC",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500848722",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.