Individual provider Active NPI

Alana R Rushton, PA-C

  • Physician Assistant
  • Lincoln City, OR
National Provider Identifier
1821048281
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA197307 Issued in OR
Practice address
825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241
Phone
(541) 996-7480
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X PA2005-0033 NM
Physician Assistant 363A00000X PA181738 OR
Physician Assistant 363A00000X PA197307 OR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 1194
Corvallis, OR 97339-1194

Other identifiers 1

IdentifierTypeStateIssuer
85221589MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arushton188952@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000614 NM Practitioner - Physician Assistant 2769396787 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2871AZMDPhysical Therapist
PA181738ORMDPhysician Assistant
22179CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Medical Associates Inc. CurrentSince Jun 1, 2006 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Oct 20, 2005 Accepting new patients
Aspen Medical Group LLC Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients
Samaritan North Lincoln Hospital PastSince Mar 9, 2020 Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

Interoperability endpoints

  • Direct secure messaging: arushton188952@samhealth.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1821048281",
    "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 STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673241",
            "telephone_number": "541-996-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHTON",
        "first_name": "ALANA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "PA2005-0033",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA181738",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA197307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85221589",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arushton188952@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "825 NW Highway 101 Ste A",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973673241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.