Individual provider Active NPI

Amber Vaca, PA-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1649893785
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
777 Commercial St SE
Salem, OR 97301-3421
Phone
(503) 485-4787
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Student in an Organized Health Care Education/Training Program 390200000X OR
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

777 Commercial St SE
Salem, OR 97301-3421

Mailing address

777 Commercial St SE
Salem, OR 97301-3421

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
I20230105000563 OR Practitioner - Physician Assistant 5597135723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Cardiology LLCGroup PAC ID 2466446844, 6 clinicians

Practice addresses (Care Compare)

1371 N 10TH Ave
Stayton, OR 97383-2037
Phone 5034854787117

400 Welch St
Silverton, OR 97381-1934
Phone 5034854787117

777 Commercial St SE
Suite 130
Salem, OR 97301-0060
Phone 5034854787117

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
78.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Cardiology LLC Physician Assistant CurrentSince Dec 5, 2022 Accepting new patients
Cascade Cardiology LLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

777 Commercial St SE
Ste 130
Salem, OR 97301
Phone (503) 485-4787

400 Welch St
Silverton, OR 97381
Phone (503) 485-4787

Interoperability endpoints

  • Direct secure messaging: amber.michaeli.p20@direct.wvp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1649893785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013421",
            "telephone_number": "503-485-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.