Ivy Nicole Tueller, PA
Ivy Nicole Tueller, PA is a Physician Assistant in Hermiston, Oregon. Graduated from Mercy College in 2018, 8 years ago. Practices with Good Shepherd Health Care System, a 118-clinician group and accepts Medicare assignment. Licensed in New York and Oregon.
- Years since qualifying
- 8
- Trained at
- Mercy College
- Licensed in
- NY, OR
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
620 NW 11th St Ste M206Hermiston, OR 97838-6941
Phone: (541) 667-3804
Fax: (541) 667-0192
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA218318 (OR) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 022776 (NY) |
Record details
| NPI number | 1790268209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 11, 2018 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | MERCY COLLEGE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Good Shepherd Health Care System — 118 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |