ANN M REITAN PA-C NPI 1073624094

NPI Information

  • NPI: 1073624094
  • Provider Name: ANN M REITAN, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2041 NE WILLIAMSON CT
    STE B
    BEND, OR
    ZIP 97701
  • Phone: (541) 323-7456

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NPI Details

Ann M Reitan, PA-C is a physician assistant in Bend, OR with 31 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Ann M Reitan, PA-C NPI is 1073624094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2041 NE WILLIAMSON CT
STE B
BEND, OR
ZIP 97701-925
Phone: (541) 323-7456
Fax: (541) 323-4997

The NPI 1073624094 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.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Epicord, per square centimeter (HCPCS:Q4187)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Epifix, per square centimeter (HCPCS:Q4186)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Biopsy of ear (HCPCS:69100)
  • Strapping, unna boot (HCPCS:29580)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/11/2016.

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
1363A00000XPhysician AssistantPA741IDAHONo
2363A00000XPhysician AssistantPA00487OREGONYes

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
1R86156MEDICARE UPINOREGON
20595810002MEDICARE NSCIDAHO
300834452OTHEROREGONMEDICARE RAILROAD
4500605525MEDICAIDOREGON
5138503MEDICARE OSCAR/CERTIFICATIONIDAHO
6R148081MEDICARE PINOREGON

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: 11/21/2025

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