Active NPI 1679792816 Individual Practitioner Female Practitioner

Shanelle Deann O'dell , PA-C

Physician Assistant • Gresham, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shanelle O'Dell, PA-C is a certified Physician Assistant practicing in Gresham, OR. With approximately 20 years of clinical experience since completing medical education in 2006, Shanelle O'Dell delivers high-quality medical care to the local community at 440 NW DIVISION ST.

Shanelle O'Dell is affiliated with Providence Health And Services Oregon and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

440 Nw Division St

Gresham, OR 970305506

Telephone 5032159500

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Oregon Facility NPI 1053419218

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gresham, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +9.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

44 Specialists

Practicing in Gresham, OR (2106 Statewide)

Telehealth Adoption Rate

11.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. O'dell (20 Years) 20 Yrs

Gresham Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	38	$435.00	$78.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$612.00	$105.55
36415 Insertion of needle into vein for collection of blood sample	26	22	$21.00	$7.85
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$308.00	$62.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	46	45	$21.00	$8.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$428.00	$84.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$600.00	$98.79
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$303.00	$66.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	39	$424.00	$87.26
36415 Insertion of needle into vein for collection of blood sample	47	45	$21.00	$2.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$598.00	$91.24
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$301.00	$73.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$77.00	$42.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0031A Adm sarscov2 vac ad26 .5ml	52	52	$60.00	$35.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$431.00	$81.22
36415 Insertion of needle into vein for collection of blood sample	27	27	$21.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	75	12	$30.00	$3.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	12	$73.00	$12.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$346.00	$60.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	49	$346.00	$74.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	13	$72.00	$14.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	60	$344.00	$74.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$463.00	$97.18
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$233.00	$50.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	66	$342.00	$76.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	15	$64.00	$15.04
85610 Blood test, clotting time	32	12	$30.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$233.00	$48.38

Medical Specialties & State Licenses

CMS Verified: 2021-06-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA01195

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500641047 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services Oregon

440 Nw Division St, Gresham, OR 970305506

Phone: 5032159500

Providence Health And Services Oregon

5050 Ne Hoyt St, Portland, OR 972132981

Phone: 5032156480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Katie Ketterling-Thornburg , APRN, FNP-C

Nurse Practitioner - Family

NPI 1114489093

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Laura Vasquez Sanchez

Registered Nurse - Ambulatory Care

NPI 1114875861

Robert Mayer , AGPCNP

Nurse Practitioner - Gerontology

NPI 1154753457

Joel Oyama , FNP-C

Nurse Practitioner - Family

NPI 1154915338

Family Nurse Practitioner (Certified)

Amanda Hinojosa , RD

Dietitian, Registered

NPI 1285283358

Registered Dietitian

Dr. Robert Bailey , MD

Internal Medicine

NPI 1346288123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 440 NW DIVISION ST, GRESHAM, OR 970305506 (Tel: 5032159500)

📍

Updated Business Mailing Address August 27, 2013

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as SHANELLE O'DELL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Physician Assistant (License #PA01195 in OR)

🟢

Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679792816

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 25, 2007

Last Update: June 21, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.