EKATERINA ALEXANDROVNA ROLLASON (PA) – Physician Assistant, NPI 1851157366

EKATERINA ALEXANDROVNA ROLLASON (PA) is a healthcare provider. based in Medford, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for EKATERINA ALEXANDROVNA ROLLASON (PA) is 1851157366

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EKATERINA ALEXANDROVNA ROLLASON (PA)
NPI
1851157366
Phone
(541) 734-9030
Address
1600 DELTA WATERS RD STE 107
Enumeration Date
22 February 2024
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417795228
Graduation Year
2023 (3 years ago)
PAC ID
0648617696
Group Practice PAC ID
3779550785
Professional Enrollment ID
I20240326001840
Address ID
OR975047134ME842XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for EKATERINA ALEXANDROVNA ROLLASON (PA)

  • 1600 DELTA WATERS RD STE 107

    MEDFORD, OR 975049114

    Phone: (541) 734-9030

    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 12 Open Payments records for all available years, with a total value of $2,165.

Total Amount is formed as General ($2,165) + Research ($0) + Ownership ($0) = $2,165.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Medtronic, Inc. ($2,152).

Total Amount

$2,165

General + Research + Ownership

Payments

12

Total payment records

General Amount

$2,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2024-03-26

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
I20240326001840IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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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: 3779550785View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOR
Nurse PractitionerSC
A N E S T H E S I O L O G YOR
Nurse PractitionerOR
Physician AssistantAK
Nurse PractitionerSC
Interventional Pain ManagementTX
Physician AssistantOR
-OR
Interventional Pain ManagementOR

Reviews

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Frequently asked questions

What number should I use to identify EKATERINA ALEXANDROVNA ROLLASON (PA) for billing?
Administrative and clinical systems typically use NPI 1851157366 for EKATERINA ALEXANDROVNA ROLLASON (PA).
Should I treat EKATERINA ALEXANDROVNA ROLLASON (PA) as an active provider?
Patients and plans typically see EKATERINA ALEXANDROVNA ROLLASON (PA) as active in the national extract.
What does the directory say EKATERINA ALEXANDROVNA ROLLASON (PA) does?
Insurance directories may phrase it differently, but here EKATERINA ALEXANDROVNA ROLLASON (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is EKATERINA ALEXANDROVNA ROLLASON (PA) tied to Medford, Oregon?
If you are local to Medford, Oregon, EKATERINA ALEXANDROVNA ROLLASON (PA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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