Judith A. Mitchell, PA-C
NPI 1316188006ActiveIndividual· Physician Assistant, Medical· Salem, OR
Physician Assistant, Medical (PA-C) with Icco LLC, practicing in Salem, Oregon. 182 Medicare patients in 2024, $24,021 paid; nearly all of their 939 Part D prescriptions were generic (93%). Lists Willamette Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1316188006 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 10, 2009 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA01450 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 182 |
|---|---|
| Services billed | 464 across 48 procedure codes |
| Paid by Medicare | $24,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 939 · 1,068 30-day fills |
|---|---|
| Patients | 427 |
| Total drug cost | $13,979 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Willamette Valley Medical CenterMcMinnville, 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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