Nolan Bastendorff, PA
NPI 1104505031ActiveIndividual· Physician Assistant· Grants Pass, OR
Physician Assistant (PA) with Asante Physician Partners, practicing in Grants Pass, Oregon. 128 Medicare patients in 2024, $8,549 paid; nearly all of their 74 Part D prescriptions were generic (91%). Lists Asante Rogue Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104505031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 17, 2023 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Dec 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 141 across 15 procedure codes |
| Paid by Medicare | $8,549 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 88 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $2,559 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Asante Physician PartnersMedford, OR · 225 clinicians
Hospital affiliations
- Asante Rogue Regional Medical CenterMedford, OR
- Asante Three Rivers Medical CenterGrants Pass, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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