NICOLE L DANE (PA-C) – Physician Assistant, NPI 1255954277

NICOLE L DANE (PA-C) is a healthcare provider. based in Canby, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA211194 (OR). The NPI Number for NICOLE L DANE (PA-C) is 1255954277

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L DANE (PA-C)
NPI
1255954277
Phone
(360) 393-9752
Address
345 N GRANT ST
Enumeration Date
26 May 2020
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038452000
Graduation Year
2022 (4 years ago)
PAC ID
3779952098
Group Practice PAC ID
8921901877
Professional Enrollment ID
I20221208001809
Address ID
OR973629520MO250XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for NICOLE L DANE (PA-C)

  • 345 N GRANT ST

    CANBY, OR 970133610

    Phone: (360) 393-9752

    Type: Mailing

  • 222 SE 8TH AVE STE 536

    HILLSBORO, OR 971234218

    Phone: (360) 393-9752

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($14).

Total Amount

$24

General + Research + Ownership

Payments

2

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

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: 2022-12-08

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
I20221208001809IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6944$0
99213Established patient office or other outpatient visit, 20-29 minutes5542$0
36415Insertion of needle into vein for collection of blood sample3324$0
81003Automated urinalysis test1714$0
View full utilization report →

Insurance plans in this area (ZIP 97013)

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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: 8921901877View full group profile

Reviews

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Frequently asked questions

How is NICOLE L DANE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists NICOLE L DANE (PA-C) with NPI 1255954277.
Is NICOLE L DANE (PA-C) listed as active for patients and plans?
The listing shows NICOLE L DANE (PA-C) as active in the NPI system.
What taxonomy line describes NICOLE L DANE (PA-C)?
For research purposes, treat NICOLE L DANE (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does NICOLE L DANE (PA-C) serve?
NICOLE L DANE (PA-C)'s listing highlights Canby, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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