ROSS ALAN VANNORMAN (PAC) – Medical Physician Assistant, NPI 1134504103
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for ROSS ALAN VANNORMAN (PAC)
847 NE 19TH AVE
SUITE 300
PORTLAND, OR 972322684
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
1111 NE 99TH AVE
PORTLAND, OR 972209428
Phone: (503) 963-3030
Fax: (503) 963-3140
Type: Location
700 NE 87TH AVE STE 220240
VANCOUVER, WA 986641913
Phone: (360) 882-2778
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: 2020-04-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200217002332 | I | Physician Assistant | WA | TBD |
| I20200422000558 | I | Physician Assistant | NY | TBD |
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.
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 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Family Practice | UT | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Internal Medicine | NV | |
| - | WA | |
| Nurse Practitioner | NC | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | AK | |
| - | AK |
Reviews
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