BRUCE A WING (PA-C) – Physician Assistant, NPI 1093995698

BRUCE A WING (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 19509 (CA). The NPI Number for BRUCE A WING (PA-C) is 1093995698

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE A WING (PA-C)
NPI
1093995698
Phone
Not provided
Address
PO BOX 3360
Enumeration Date
12 November 2007
Last Update Date
21 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328130799
Graduation Year
2007 (19 years ago)
PAC ID
3274612775
Group Practice PAC ID
3476089244
Professional Enrollment ID
I20180606002762
Address ID
WA981013265SE720XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for BRUCE A WING (PA-C)

  • 3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

  • Providence Family Medicine - West Olympia, 1620, Cooper Point Road Southwest, Quixote Village, Olympia, Thurston County, Washington, 98502, United States

    OLYMPIA, WA 98502

    Phone: (360) 486-6710

    Fax: (360) 705-0614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($184).

Total Amount

$327

General + Research + Ownership

Payments

12

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

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: 2018-06-06

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
I20180606002762IPhysician 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 minutes526428$0
99203New patient office or other outpatient visit, 30-44 minutes197197$0
99212Established patient office or other outpatient visit, 10-19 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

Can I cross-check BRUCE A WING (PA-C) using NPI 1093995698?
NPI 1093995698 belongs to BRUCE A WING (PA-C); compare other details if you need extra assurance.
Is BRUCE A WING (PA-C) still an active registrant?
BRUCE A WING (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with BRUCE A WING (PA-C)?
BRUCE A WING (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with BRUCE A WING (PA-C)?
Directory geography for BRUCE A WING (PA-C) centers on Portland, Oregon.
Does BRUCE A WING (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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