AUDREY RAYNE ANDERSON (PA-C) – Physician Assistant, NPI 1366065427
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for AUDREY RAYNE ANDERSON (PA-C)
51377 SW Old Portland Rd
Scappoose, OR 970564023
Phone: (503) 418-4222
Type: Location
16236 SW AUDUBON ST UNIT 201
BEAVERTON, OR 970032451
Phone: (503) 877-8850
Type: Mailing
222 SE 8TH AVE STE 536
HILLSBORO, OR 971234218
Phone: (503) 352-7272
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 970079475
Phone: (503) 216-8820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($80).
Total Amount
$365
General + Research + Ownership
Payments
15
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $80 |
| E.R. Squibb & Sons, L.L.C. | $73 |
| GlaxoSmithKline, LLC. | $45 |
| Astellas Pharma US Inc | $37 |
| Genmab U.S., Inc. | $33 |
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: 2022-11-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221123002244 | I | Physician Assistant | OR | 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 97056)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.