Individual provider Active NPI

Paula Skye Gardner, PA-C

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1699917567
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012966-1 Issued in NY
Practice address
388 SW Bluff Dr
Bend, OR 97702-1360
Phone
(541) 678-0020
Fax
(541) 323-2174
NPI assigned
Mar 24, 2009
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012966-1 NY Primary

Addresses

Primary practice location

388 SW Bluff Dr
Bend, OR 97702-1360

Mailing address

388 SW Bluff Dr
Bend, OR 97702-1360
Phone (541) 678-0020

Other identifiers 1

IdentifierTypeStateIssuer
03120376MedicaidNY

Other names 1

  • Paula Skye Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820000613 CO Practitioner - Physician Assistant 6002952397 Reassigns benefits to 1 organization
I20260129002920 OR Practitioner - Physician Assistant 6002952397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oregon Dermatology, PCGroup PAC ID 5294806832, 2 clinicians

Practice addresses (Care Compare)

388 SW Bluff Dr
Bend, OR 97702-1360
Phone (541) 678-0020

940 Central Park Dr
Steamboat Springs, CO 80487-8816

940 Central Park Dr
Suite 210
Steamboat Springs, CO 80487-8853
Phone (970) 871-4811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as group
Quality
96.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012966-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Dermatology, PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

388 SW Bluff Dr
Bend, OR 97702
Phone (541) 678-0020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIAFAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1699917567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 SW BLUFF DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021360",
            "telephone_number": "541-678-0020",
            "fax_number": "541-323-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 SW BLUFF DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021360",
            "telephone_number": "541-678-0020",
            "fax_number": "541-323-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PAULA",
        "middle_name": "SKYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012966-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03120376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "RICHARDS",
            "middle_name": "SKYE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.