ANNE GENDREAU (PA) – Physician Assistant, NPI 1295383180

ANNE GENDREAU (PA) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for ANNE GENDREAU (PA) is 1295383180

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANNE GENDREAU (PA)
NPI
1295383180
Phone
Not provided
Address
2730 SW MOODY AVE
Enumeration Date
3 September 2019
Last Update Date
15 October 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
6507254539
Group Practice PAC ID
6305832890
Professional Enrollment ID
I20211025002349
Address ID
OR971288862MC2435XAXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for ANNE GENDREAU (PA)

  • Flying Elephants Delicatessen, 2730, Southwest Moody Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972015042

    Phone:

    Type: Mailing

  • 2435 NE CUMULUS AVE

    MCMINNVILLE, OR 971288805

    Phone: (503) 472-6161

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($171).

Total Amount

$387

General + Research + Ownership

Payments

21

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2021-10-25

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
I20211025002349IPhysician 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 minutes17199$0
99213Established patient office or other outpatient visit, 20-29 minutes11492$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
G0008Administration of influenza virus vaccine3434$0
83036Hemoglobin a1c level3124$0
View full utilization report →

Insurance plans in this area (ZIP 97201)

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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: 6305832890View full group profile
NameSpecialtyState
Physician AssistantOR
Pediatric MedicineOR
Pediatric MedicineOR
Clinical PsychologistOR
Physician AssistantOR
-OR
-OR
Internal MedicineOR
-OR
Family PracticeOR

Reviews

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Frequently asked questions

What number should I use to identify ANNE GENDREAU (PA) for billing?
Administrative and clinical systems typically use NPI 1295383180 for ANNE GENDREAU (PA).
Should I treat ANNE GENDREAU (PA) as an active provider?
Patients and plans typically see ANNE GENDREAU (PA) as active in the national extract.
Which specialty label fits ANNE GENDREAU (PA)?
NPPES ties ANNE GENDREAU (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANNE GENDREAU (PA) tied to Portland, Oregon?
If you are local to Portland, Oregon, ANNE GENDREAU (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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