Alyssa Lynn Smith, PA
Individual provider Active NPI Physician Assistant · McMinnville, OR
NPI 1609654516 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1609654516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 254 NE Norton LN
McMinnville, OR 97128-8470 - Phone
- (503) 472-9002
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Willamette Valley Clinics LLC
Practice addresses (Care Compare)
254 NE Norton LN
McMinnville, OR 97128-8470
Phone (503) 472-9002
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128-6258
Phone (503) 434-1110
Hospital & facility affiliations
- Assured Home Health
- Amedisys Home Health Care
- First Call Home Health Agency, LLC
- Physicians Choice
- Willamette Valley Medical Center
- Adventist Health Portland
- Providence Portland Medical Center
- Providence Newberg Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312002023 | OR | Practitioner - Physician Assistant | 9133565252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Current |
Accepting new patients |
Locations
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
254 NE Norton Ln
McMinnville, OR 97128
Phone (503) 472-6161
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- alyssa.smith.1@1814.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OR | Yes |
Addresses
Primary practice location
254 NE Norton LN
McMinnville, OR 97128-8470
Mailing address
254 NE Norton LN
McMinnville, OR 97128-8470
Other names
- Alyssa Lynn Andrew
Other providers in McMinnville, OR
- Victoria Slater
- Amy Slivkoff
- Cristian Martin Slough
- Michelle Autumn Smiley
- Alicia Marie Smith
- Barbara Smith
- Jamie Jolyn Smith
- Janina Smith
- Jillien Elizabeth Smith
- Kari Smith
All providers in McMinnville, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.