CAROLYN KYLE NIXON NPI 1023249125

NPI Information

NPI: 1023249125
Provider Name: CAROLYN KYLE NIXON
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: OREGON HEALTH AND SCIENCES UNIVERSITY/UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
Phone: (503) 494-7551
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Carolyn Kyle Nixon is a medical physician assistant in Portland, OR with 13 years of experience. Carolyn Kyle Nixon NPI is 1023249125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-7551

The NPI 1023249125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Hemoglobin A1C level (HCPCS:83036)

The enumeration date for this NPI number is 8/6/2009 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA170105	OREGON	No
2	363AM0700X	Physician Assistant	Medical	PA170105	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500679615	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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