DEANNA ELAINE CULLY (PA-C) – Physician Assistant, NPI 1912967779

DEANNA ELAINE CULLY (PA-C) is a healthcare provider. based in Stanford, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01428 (OR). The NPI Number for DEANNA ELAINE CULLY (PA-C) is 1912967779

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DEANNA ELAINE CULLY (PA-C)
NPI
1912967779
Phone
(650) 723-4000
Address
300 PASTEUR DR
Enumeration Date
24 March 2006
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
6507234000
Graduation Year
2005 (21 years ago)
PAC ID
6901812338
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20210107002562
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
dcully18033@secure.stcharleshealthcare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for DEANNA ELAINE CULLY (PA-C)

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Location

  • 2500 NE Neff Road

    Bend, OR 97701

    Phone: (541) 388-4333

    Fax: (541) 388-3446

    Type: Location

  • 9155 SW Barnes Rd

    Suite 240

    Portland, OR 972256625

    Phone: (503) 297-1419

    Type: Location

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 240

    PORTLAND, OR 972256625

    Phone: (503) 297-1419

    Type: Mailing

  • Saint Charles Medical Center, 2500, Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States

    BEND, OR 97701

    Phone: (541) 388-4333

    Fax: (541) 388-3446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Becton, Dickinson and Company ($135).

Total Amount

$401

General + Research + Ownership

Payments

6

Total payment records

General Amount

$401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090126000745IPhysician AssistantORTBD
I20210107002562IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

Is DEANNA ELAINE CULLY (PA-C) listed with a National Provider Identifier?
Yes — DEANNA ELAINE CULLY (PA-C) has NPI 1912967779 on file in the registry.
Is DEANNA ELAINE CULLY (PA-C) still an active registrant?
DEANNA ELAINE CULLY (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for DEANNA ELAINE CULLY (PA-C)?
At a glance, DEANNA ELAINE CULLY (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DEANNA ELAINE CULLY (PA-C) associated with Stanford?
Public fields place DEANNA ELAINE CULLY (PA-C) around Stanford, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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