Annie Elaine Nunley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00848 Issued in OR

Practice address

610 NW 11TH St
Hermiston, OR 97838-6601

Phone

(541) 667-3400

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Diane Nunley Hungerford Former name

Medicare fee-for-service enrollment

Enrolled in OR, TX2 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

Merit-based Incentive Payment System (MIPS)

Final score

75.44 of 100Reported as group

Quality

62.56

Promoting interoperability

81

Improvement activities

40

Cost

67.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annie.nunley.1@13869.direct.athenahealth.com

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.

• Dispatchhealth-Oregon PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1649822990
  Medicare reassignment
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  dba Searhc Edna Bay

  • Clinic/Center
  • Edna Bay, AK
  • NPI 1518403906
  NPD
• Womens Healthcare Professionals

  • Obstetrics & Gynecology Physician
  • Silverton, OR
  • NPI 1851313480
  NPD (past)
• Molokai Ohana Health Care, Inc.

  dba Molokai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kaunakakai, HI
  • NPI 1336805621
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1871547760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-966-8318",
            "fax_number": "907-966-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-667-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Tongass Dr",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-8318",
            "fax_number": "907-966-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "ANNIE",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PADA894",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666081",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HUNGERFORD",
            "middle_name": "NUNLEY",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Nguyen
• Pablo Esteban Nicacio, DDS
• Randi Nielsen, APRN
• NJP Eyecare, LLC (Affordable Family Eyewear)
• Susan E Norquist, RN
• Tracia Nunnally, CADC-R
• Asuzena Kay Ochoa, CRM
• Jennifer L Offer, LMSW
• Olthyme LLC
• Guy Eugene Oltman, M.D.

• Medical Physician Assistant in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.