Active NPI
Marc Christopher Trautmann, PA-C
- Physician Assistant
- Newport, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA222661
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500848722 | Medicaid | OR |
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Samaritan North Lincoln Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA222661 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lincoln | Current | Accepting new patients | |
| County of Lincoln | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Newport, OR
- NPI 1992755664
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, OR
- NPI 1740061878
-
- Federally Qualified Health Center (FQHC)
- Newport, OR
- NPI 1982939641
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
Hospital
-
- Cardiovascular Disease Physician
- Lincoln City, OR
- NPI 1841554177
Hospital
-
- Obstetrics & Gynecology Physician
- Newport, OR
- NPI 1669529087
Hospital
-
- Hospitalist Physician
- Newport, OR
- NPI 1811045867
-
- Rural Health Clinic/Center
- Newport, OR
- NPI 1831246248
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.