Individual provider Active NPI

Lindsey C Poulsen, PA-C

  • Medical Physician Assistant
  • Eugene, OR
National Provider Identifier
1467458869
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA223650 Issued in OR
Practice address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3100
Fax
(541) 228-3107
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 PA223650 OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Mailing address

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 228-3100

Other names 1

  • Lindsey C Weller Other 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
I20251013000059 OR Practitioner - Physician Assistant 9436137262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2650 Suzanne Way
Suite 200
Eugene, OR 97408-7619

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA223650ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Emergency Room Corp PC CurrentSince Aug 27, 2025 Accepting new patients
Downers Grove Family Practice,P.C. Family Medicine Past Accepting new patients

Locations

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1804/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1467458869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3100",
            "fax_number": "541-228-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3100",
            "fax_number": "541-228-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "LINDSEY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA223650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WELLER",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.