MS. SHAE NOELLE MONTEGNA (PA-C) – Physician Assistant, NPI 1245319169
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MS. SHAE NOELLE MONTEGNA (PA-C)
2020 8TH AVE STE 200
WEST LINN, OR 970684657
Phone: (503) 512-1212
Fax: (503) 512-1220
Type: Mailing
18 NW 20TH AVE
BATTLE GROUND, WA 986044175
Phone: (360) 952-4457
Fax: (360) 828-7409
Type: Mailing
650 N DEVINE RD STE B
VANCOUVER, WA 986616979
Phone: (360) 952-4457
Fax: (360) 828-7409
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 $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: PFIZER INC. ($44).
Total Amount
$124
General + Research + Ownership
Payments
6
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $44 |
| ABBVIE INC. | $43 |
| GlaxoSmithKline, LLC. | $22 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2015-08-20
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 |
|---|---|---|---|---|
| I20080212000713 | I | Physician Assistant | OR | TBD |
| I20150820011411 | 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 97068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Family Practice | AK | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | OR |
Reviews
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