Individual provider Active NPI

Skye Anthony Nehs, PAC

  • Medical Physician Assistant
  • Gresham, OR
National Provider Identifier
1740515097
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA174474 Issued in OR
Practice address
24988 SE Stark St Ste 300
Gresham, OR 97030-8325
Phone
(503) 413-7162
Fax
(503) 674-4140
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1683 OR
Medical Physician Assistant 363AM0700X PA174474 OR Primary

Addresses

Primary practice location

24988 SE Stark St Ste 300
Gresham, OR 97030-8325

Mailing address

24988 SE Stark St Ste 300
Gresham, OR 97030-8325
Phone (503) 413-7162

Other identifiers 2

IdentifierTypeStateIssuer
500692934MedicaidOR
2048411MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20151021000402 OR Practitioner - Physician Assistant 9739498460 Reassigns benefits to 3 organizations
I20190910003725 WA Practitioner - Physician Assistant 9739498460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

24988 SE Stark St
Gresham, OR 97030-8325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1683ORMDClinical Social Worker
PA174474ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Apr 16, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 21, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 21, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 7, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 21, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 21, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 7, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Legacy Mount Hood Medical Center Past Accepting new patients

Locations

24988 SE Stark St
Ste 300
Gresham, OR 97030
Phone (503) 674-5818

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

Organizations & group practices 10

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 1

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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1740515097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24988 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308325",
            "telephone_number": "503-413-7162",
            "fax_number": "503-674-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24988 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308325",
            "telephone_number": "503-413-7162",
            "fax_number": "503-674-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHS",
        "first_name": "SKYE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1683",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA174474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692934",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048411",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.