Nicolle A. Renfro, PA-C
NPI 1447653324ActiveIndividual· Physician Assistant· Canby, OR
Physician Assistant (PA-C) with Providence Health and Services Oregon, practicing in Canby, Oregon. Their prescriptions cost Medicare Part D more than their services did: $26,128 for 601 claims, against $11,831 paid for services in 2024. Lists Providence Milwaukie Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1447653324 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 6, 2014 |
| Last updated in NPPES | May 28, 2025 |
| Certified by provider | May 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA218913 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 401 across 39 procedure codes |
| Paid by Medicare | $11,831 |
Part D prescriptions in 2024
| Prescriptions (claims) | 601 · 1,039 30-day fills |
|---|---|
| Patients | 329 |
| Total drug cost | $26,128 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
Hospital affiliations
- Providence Milwaukie HospitalMilwaukie, OR
- Providence Willamette Falls Medical CenterOregon City, OR
Other facilities
- Providence Home HealthHome health agency · Portland, 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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