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Active NPI 1982925301 Individual Practitioner Female Practitioner

Nicole L Dusenbury , PA-C

Physician Assistant • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Dusenbury, PA-C is a certified Physician Assistant practicing in Salem, OR. With approximately 16 years of clinical experience since completing medical education in 2010, Nicole Dusenbury delivers high-quality medical care to the local community at 5050 SKYLINE VILLAGE LOOP S.

Nicole Dusenbury is affiliated with Soldiers And Sailors Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5050 Skyline Village Loop S

Salem, OR 973069490

Telephone 0353911110
Fax 5033704237
Associated Practice Facility / Clinic
🏢 Doctors Clinic Llp Facility NPI 1841275393

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +7.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
128 Specialists

Practicing in Salem, OR (2106 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dusenbury (16 Years) 16 Yrs
Salem Specialty Average (9.0 Years) 9.0 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
75 62 $342.96 $99.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
33 33 $348.00 $105.36
99213 Established patient office or other outpatient visit, typically 15 minutes
19 18 $244.68 $69.05

Medical Specialties & State Licenses

CMS Verified: 2022-07-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA207501

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 014584-1

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA054809

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License HI AMD -- 581

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

Soldiers And Sailors Memorial Hospital

50 Millard St, Dundee, NY 148379400

Phone: 6072347881

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Joseph Thaler , MD

Internal Medicine

NPI 1033193503

Doctor of Medicine (M.D.)

Dr. Jeffery Brown , MD

Internal Medicine

NPI 1073596532

Doctor of Medicine (M.D.)

NPI 1073597605

Doctor of Medicine (M.D.)

NPI 1083697965

Doctor of Medicine (M.D.)

Mitchell White , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144031451

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. David Edmonds , MD

Family Medicine

NPI 1144204629

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 11, 2022

Registered at 5050 SKYLINE VILLAGE LOOP S, SALEM, OR 973069490 (Tel: 0353911110)

📍
Updated Business Mailing Address July 11, 2022

Registered at 5050 SKYLINE VILLAGE LOOP S, SALEM, OR 973069490 (Tel: 0353911110)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Physician Assistant (License #014584-1 in NY)

📍
Updated Practice Location May 07, 2021

Registered at 80 MAHALANI ST, WAILUKU, HI 967932531 (Tel: 8082436000)

📍
Updated Business Mailing Address May 07, 2021

Registered at 80 MAHALANI ST, WAILUKU, HI 967932531 (Tel: 8082436000)

NPI Profile Active October 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2014

Registered at 89 HOOKELE ST, #103, KAHULUI, HI 967323532 (Tel: 8088718878)

📍
Updated Business Mailing Address October 26, 2014

Registered at 89 HOOKELE ST, #103, KAHULUI, HI 967323532 (Tel: 8088718878)

👤
Provider Name / Credentials Updated October 26, 2014

Recorded as NICOLE DUSENBURY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2014

Physician Assistant (License #AMD -- 581 in HI)

🟢
Initial NPI Registration & Enumeration June 21, 2010

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: 1982925301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2010
Last Update: July 11, 2022
Sole Proprietor: No

Mailing Address

5050 Skyline Village Loop S

Salem, OR 973069490

Phone: 0353911110

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.