MARINA CHANEL KOVIC RITCHIE (PA) – Physician Assistant, NPI 1063077097

MARINA CHANEL KOVIC RITCHIE (PA) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA61073921 (WA). The NPI Number for MARINA CHANEL KOVIC RITCHIE (PA) is 1063077097

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARINA CHANEL KOVIC RITCHIE (PA)
NPI
1063077097
Phone
(503) 494-3633
Address
2730 SW MOODY AVE # CL5PA
Enumeration Date
6 May 2019
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
0042615874
Group Practice PAC ID
9537073960
Professional Enrollment ID
I20210817003333
Address ID
WA982251906BE3015XPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MARINA CHANEL KOVIC RITCHIE (PA)

  • 2730 SW MOODY AVE # CL5PA

    PORTLAND, OR 972015042

    Phone: (503) 494-3633

    Type: Location

  • 209 Main Ave S Ste 115

    North Bend, WA 980458139

    Phone: (425) 831-0777

    Type: Location

  • 1990 Hospital Dr Ste 100

    Sedro Woolley, WA 982849315

    Phone: (360) 856-8800

    Fax: (360) 714-2522

    Type: Location

  • Flying Elephants Delicatessen, 2730, Southwest Moody Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972015042

    Phone:

    Type: Mailing

  • 2980 SQUALICUM PKWY STE 301

    BELLINGHAM, WA 982251880

    Phone: (360) 788-6112

    Fax: (360) 788-6114

    Type: Location

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1412

    Fax: (360) 729-3025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210817003333IPhysician AssistantWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes216188$0
99214Established patient office or other outpatient visit, 30-39 minutes172161$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
99212Established patient office or other outpatient visit, 10-19 minutes7772$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 97201)

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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: 9537073960View full group profile
NameSpecialtyState
Family PracticeWA
P O D I A T R YWA
Gynecological OncologyWA
-FL
Geriatric Medicine, Family PracticeWA
Nurse PractitionerWA
Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear MedicineMA
-TX
Nurse PractitionerNY
-WA

Reviews

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Frequently asked questions

How do I look up MARINA CHANEL KOVIC RITCHIE (PA) by NPI?
Use NPI 1063077097 when you need to reference MARINA CHANEL KOVIC RITCHIE (PA) in forms, claims, or directories.
Is MARINA CHANEL KOVIC RITCHIE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MARINA CHANEL KOVIC RITCHIE (PA)'s specialty in plain language?
Clinically, the directory lists MARINA CHANEL KOVIC RITCHIE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MARINA CHANEL KOVIC RITCHIE (PA) practice in Oregon?
You will see Portland, Oregon on file for MARINA CHANEL KOVIC RITCHIE (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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