EILEEN MCNULTY (MPAS, PA-C) – Physician Assistant, NPI 1457743478

EILEEN MCNULTY (MPAS, PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. They hold a License No. PA177262 (OR). The NPI Number for EILEEN MCNULTY (MPAS, PA-C) is 1457743478

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN MCNULTY (MPAS, PA-C)
NPI
1457743478
Phone
(503) 223-1933
Address
2525 NW LOVEJOY ST STE 400
Enumeration Date
27 February 2015
Last Update Date
2 May 2018

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032263376
Graduation Year
2016 (10 years ago)
PAC ID
3375828643
Group Practice PAC ID
5597656983
Professional Enrollment ID
I20170329000507
Address ID
OR972102996PO2565XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for EILEEN MCNULTY (MPAS, PA-C)

  • 2525 NW LOVEJOY ST STE 400

    PORTLAND, OR 972102865

    Phone: (503) 223-1933

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($217).

Total Amount

$693

General + Research + Ownership

Payments

32

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

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: 2017-03-29

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
I20170329000507IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes11492$0
17003Destruction of precancer skin growth, 2-14 growths8424$0
99214Established patient office or other outpatient visit, 30-39 minutes5443$0
17000Destruction of precancer skin growth, 1 growth5043$0
17110Destruction of skin growth, 1-14 growths5046$0
View full utilization report →

Insurance plans in this area (ZIP 97210)

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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: 5597656983View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
D E R M A T O L O G YOR
Physician AssistantOR
D E R M A T O L O G YOR

Reviews

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Frequently asked questions

Is EILEEN MCNULTY (MPAS, PA-C) listed with a National Provider Identifier?
Yes — EILEEN MCNULTY (MPAS, PA-C) has NPI 1457743478 on file in the registry.
Would EILEEN MCNULTY (MPAS, PA-C) appear as active to a payer?
You can treat EILEEN MCNULTY (MPAS, PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EILEEN MCNULTY (MPAS, PA-C)?
EILEEN MCNULTY (MPAS, PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EILEEN MCNULTY (MPAS, PA-C)?
Directory geography for EILEEN MCNULTY (MPAS, PA-C) centers on Portland, Oregon.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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