Nicole Weis, PA-C
NPI 1760090666ActiveIndividual· Physician Assistant, Medical· Portland, OR
Physician Assistant, Medical (PA-C) with Legacy Clinics LLC and 1 other group, practicing in Portland, Oregon. In 2024 Medicare paid $4,605 for 62 patients, and Part D covered 72 of their prescriptions, 71% of them generic. Lists Legacy Salmon Creek Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1760090666 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2020 |
| Last updated in NPPES | Sep 13, 2023 |
| Certified by provider | Sep 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA201241 | OR |
| Physician Assistant | 363A00000X | — | — |
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 (OR); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 89 across 22 procedure codes |
| Paid by Medicare | $4,605 |
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 74 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $3,374 |
| Generic share | 71% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Radia Inc P SSeattle, WA · 277 clinicians
Hospital affiliations
- Legacy Salmon Creek Medical CenterVancouver, WA
- Peacehealth Southwest Medical CenteVancouver, WA
- Peacehealth St John Medical CenterLongview, WA
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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