Individual provider Active NPI

Makaila Samonne-Hunt Palazo, PA-C

  • Physician Assistant
  • Fossil, OR
National Provider Identifier
1457940660
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA202991 Issued in OR
Practice address
712 Jay St
Fossil, OR 97830-8371
Phone
(541) 763-2725
NPI assigned
Jan 12, 2021
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 PA202991 OR Primary

Addresses

Primary practice location

712 Jay St
Fossil, OR 97830-8371

Mailing address

712 Jay St
PO Box 307
Fossil, OR 97830-8371
Phone (541) 763-2725

Other practice location 1

340 High St
Mitchell, OR 97750-9728
Phone (541) 763-2725

Other practice location 2

211 Pine St
Spray, OR 97874-2013
Phone (541) 763-2725

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
I20210225002585 OR Practitioner - Physician Assistant 9436564333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Asher Community Health CenterGroup PAC ID 2163460726, 5 clinicians

Practice addresses (Care Compare)

712 Jay St
Fossil, OR 97830-8371
Phone (541) 763-2725

PO Box
Suite 307
Fossil, OR 97830-0307

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Community Health Center CurrentSince Nov 1, 2025 Accepting new patients
Asher Community Health Center CurrentSince Nov 1, 2025 Accepting new patients
Asher Community Health Center Current Accepting new patients
North Clark Medical Group LLC PastSince Jun 1, 2021 Accepting new patients
Asher Community Health Center Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1457940660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "address_2": "PO BOX 307",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978308371",
            "telephone_number": "541-763-2725",
            "fax_number": "833-601-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAY ST",
            "city": "FOSSIL",
            "state": "OR",
            "postal_code": "978308371",
            "telephone_number": "541-763-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 High St",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "OR",
            "postal_code": "977509728",
            "country_code": "US",
            "telephone_number": "541-763-2725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Pine St",
            "address_purpose": "LOCATION",
            "city": "Spray",
            "state": "OR",
            "postal_code": "978742013",
            "country_code": "US",
            "telephone_number": "541-763-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAZO",
        "first_name": "MAKAILA",
        "middle_name": "SAMONNE-HUNT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA202991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fossil, OR

Sources for this page

Verify at the official NPI Registry.