Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821087891 Individual Practitioner Female Practitioner

Lucy Nusrala , PA-C

Physician Assistant • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lucy Nusrala, PA-C is a certified Physician Assistant practicing in Portland, OR. With approximately 22 years of clinical experience since completing medical education in 2004, Lucy Nusrala delivers high-quality medical care to the local community at 4212 NE BROADWAY.

Lucy Nusrala is affiliated with Broadway Medical Clinic Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of up to 14 skin growths, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4212 Ne Broadway

Portland, OR 972131422

Telephone 5032498787
Associated Practice Facility / Clinic
🏢 Broadway Medical Clinic Llp Facility NPI 1720082316

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nusrala (22 Years) 22 Yrs
Portland Specialty Average (10.1 Years) 10.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
76 61 $225.26 $79.48
17110 Destruction of up to 14 skin growths
63 57 $285.00 $100.29
17003 Destruction of precancer skin growth, 2-14 growths
59 12 $25.00 $5.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
40 38 $45.00 $14.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 35 $326.05 $111.84
17000 Destruction of skin growth
36 26 $179.00 $49.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $287.50 $97.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $434.50 $144.72

Medical Specialties & State Licenses

CMS Verified: 2026-06-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA01448

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.

Hospital & Practice Group Affiliations

Broadway Medical Clinic Llp

4212 Ne Broadway, Portland, OR 972131422

Phone: 5032498787

Practice Associates & Co-Workers

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

34 Associated Practitioners
NPI 1003983487

Doctor of Medicine (M.D.)

Dr. Luis Valls , MD

Internal Medicine

NPI 1013084573

Doctor of Medicine (M.D.)

Dr. Marjorie Hrbek , MD

Internal Medicine

NPI 1053488718

Doctor of Medicine (M.D.)

NPI 1073670832

Doctor of Medicine (M.D.)

Dr. James Johnson , MD

Internal Medicine

NPI 1194892711

Doctor of Medicine (M.D.)

NPI 1205465705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 09, 2026

Registered at 4212 NE BROADWAY, PORTLAND, OR 972131422 (Tel: 5032498787)

📍
Updated Business Mailing Address June 09, 2026

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5039632801)

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2014

Registered at 4212 NE BROADWAY ST, PORTLAND, OR 972131422 (Tel: 5032498787)

📍
Updated Business Mailing Address May 08, 2014

Registered at 4212 NE BROADWAY ST, PORTLAND, OR 972131422 (Tel: 5032498787)

👤
Provider Name / Credentials Updated May 08, 2014

Recorded as LUCY NUSRALA, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Physician Assistant (License #PA01448 in OR)

🟢
Initial NPI Registration & Enumeration October 20, 2005

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: 1821087891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: June 09, 2026
Sole Proprietor: No

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5039632801

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.