MS. TANYA LYNN WAYNE (PA-C) – Physician Assistant, NPI 1386650315
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MS. TANYA LYNN WAYNE (PA-C)
6995 SW NYBERG ST APT X106
TUALATIN, OR 970628338
Phone: (503) 332-2652
Fax: (503) 233-1592
Type: Mailing
PO BOX 2908
PORTLAND, OR 972082908
Phone: (888) 227-3312
Fax: (971) 282-0085
Type: Mailing
5308 N LOMBARD ST
PORTLAND, OR 972034218
Phone: (888) 227-3312
Fax: (971) 282-0085
Type: Location
McLoughlin Boulevard, Gladstone, Clackamas County, Oregon, 97027, United States
GLADSTONE, OR 970272642
Phone: (503) 656-4268
Fax: (503) 655-4189
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 $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($249).
Total Amount
$313
General + Research + Ownership
Payments
6
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $249 |
| Galderma Laboratories, L.P. | $49 |
| Integra LifeSciences Corporation | $16 |
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: 2016-05-20
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 |
|---|---|---|---|---|
| I20160520000963 | 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 97062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | FL | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | VA | |
| Physician Assistant | IL |
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