Nicholas Dean, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA179857 Issued in OR

Practice address

825 NW Highway 101
Suite a
Lincoln City, OR 97367-3241

Phone

(541) 996-7480

Fax

(541) 557-6439

NPI assigned

Dec 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Samaritan North Lincoln Hospital

  • Rural Health Clinic/Center
  • Lincoln City, OR
  • NPI 1396893327
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1760880843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NW HIGHWAY 101",
            "address_2": "SUITE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673241",
            "telephone_number": "541-996-7480",
            "fax_number": "541-557-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "NICHOLAS",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA179857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndean131232@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "825 NW Highway 101",
            "address_2": "Suite A",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973673241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa J Curran, PA-C
• Belinda Joy Dagaas, PHARMD
• Alana M Dannen, DPT
• Darrell D Prins
• Kaitlyn Day
• Zachary Yarnall Dembitsky, M.D.
• Nicole Dickerson
• Scott Dieker, RN
• Paul Louis Dimodica, D.O.
• Elizabeth I Donner, MS

• Physician Assistant in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.