SHELLEY DUNLOP (PA-C) – Physician Assistant, NPI 1194905554
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for SHELLEY DUNLOP (PA-C)
Northwest 6th Avenue, Chinatown, Old Town, Portland, Metro, Multnomah County, Oregon, 97240, United States
PORTLAND, OR 972093964
Phone:
Type: Mailing
Subway, 9000, North Lombard Street, Saint Johns, Portland, Metro, Multnomah County, Oregon, 97203, United States
PORTLAND, OR 972033006
Phone: (503) 988-5304
Type: Location
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 986643295
Phone: (360) 254-6161
Type: Mailing
200 NE MOTHER JOSEPH PL STE 110
VANCOUVER, WA 986643293
Phone: (360) 254-6161
Type: Location
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: 2024-06-28
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 |
|---|---|---|---|---|
| I20190227000255 | I | Physician Assistant | OR | TBD |
| I20240628001739 | I | Physician Assistant | WA | 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 97209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Family Practice, Sports Medicine | OR | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery, Hand Surgery, Orthopedic Surgery | WA | |
| - | WA | |
| Orthopedic Surgery | WA |
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