Danielle Kathryn Addleman, PA
Individual provider Active NPI Physician Assistant · Pendleton, OR
NPI 1669745469 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669745469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA164124 (OR)
- Practice address
- 2450 SW Perkins Ave
Pendleton, OR 97801-4302 - Phone
- (541) 276-1700
- Fax
- (541) 276-6327
- NPI assigned
- Feb 10, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Excellence in Dermatology PLLC
Praxis Health PC
Practice addresses (Care Compare)
1050 W Elm Ave
Suite 220
Hermiston, OR 97838-2714
Phone (509) 735-1100
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Phone (541) 276-1700
2460 SW Perkins Ave
Pendleton, OR 97801-4302
354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609
Hospital & facility affiliations
- Good Shepherd Home Health
- St Anthony Hospital
- Good Shepherd 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 |
|---|---|---|---|---|
| I20140115001407 | OR | Practitioner - Physician Assistant | 2062640261 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Current |
Accepting new patients | |
| Center for Excellence in Dermatology, PLLC | Current |
Accepting new patients | |
| Praxis Health, PC | Current |
Accepting new patients | |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
1050 W Elm Ave
Ste 220
Hermiston, OR 97838
Phone (509) 735-1100
2450 SW Perkins Ave
Pendleton, OR 97801
Phone (541) 276-1700
8901 W Gage Blvd
Kennewick, WA 99336
Phone (509) 628-1911
Interoperability endpoints
- dgipson@pfm.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA164124 | OR | Yes |
Addresses
Primary practice location
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Mailing address
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Phone (541) 276-1700
Other practice location 1
3181 SW Sam Jackson Park Rd
Gh219
Portland, OR 97239-3011
Phone (541) 215-0292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500666136 | Medicaid | OR |
Other names
- Danielle Kathryn Gipson
Other providers in Pendleton, OR
- Bart A Adams
- Bradley Scott Adams
- Mandy Adams
- Melissa M Adams
- Rebecca Ellen Adams
- Leann Faye Alexander
- Shana Lee Alexander
- Seth Allen Alford
- All Heart Counseling Services
- Shawna L. All
All providers in Pendleton, 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 Mar 17, 2018. 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.