Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole L Dusenbury, PA-C

Individual provider Physician Assistant · NPI 1982925301

Nicole L Dusenbury, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2010, 16 years ago. Practices with Soldiers and Sailors Memorial Hospital, a 36-clinician group and accepts Medicare assignment. Licensed in Hawaii, New York, Oregon and Pennsylvania.

Years since qualifying
16
Licensed in
HI, NY, OR, PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5050 Skyline Village Loop S
Salem, OR 97306-9490
Phone: (035) 391-1110
Fax: (503) 370-4237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA207501 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 014584-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA054809 (PA)
Physician Assistant Taxonomy 363A00000X · Licence AMD -- 581 (HI)

Record details

NPI number1982925301
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Soldiers And Sailors Memorial Hospital — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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