NPIMap

Individual provider Active NPI

Melissa Paulissen, M.D.

  • Family Medicine Physician
  • Tillamook, OR
National Provider Identifier
1699069617
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD161525 Issued in OR
Practice address
801 Pacific Ave
Tillamook, OR 97141-3926
Phone
(503) 842-3900
Fax
(503) 842-3903
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD161525 OR Primary

Addresses

Primary practice location

801 Pacific Ave
Tillamook, OR 97141-3926

Mailing address

801 Pacific Ave
Tillamook, OR 97141-3926
Phone (503) 842-3900

Other practice location 1

800 Main Ave Ste A
Tillamook, OR 97141-3760
Phone (503) 842-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000590 OR Practitioner - Family Practice 9436399151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
County of TillamookGroup PAC ID 3173411287, 9 clinicians

Practice addresses (Care Compare)

801 Pacific Ave
Tillamook, OR 97141-3926
Phone (503) 842-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tillamook CurrentSince Aug 18, 2014 Accepting new patients
County of Tillamook CurrentSince Aug 18, 2014 Accepting new patients
County of Tillamook Current Accepting new patients

Locations

801 Pacific Ave
Tillamook, OR 97141
Phone (503) 842-3900

800 Main Ave
Ste A
Tillamook, OR 97141
Phone (503) 842-3900

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1699069617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971413760",
            "country_code": "US",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULISSEN",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD161525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.