Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Noelle Dominique Vacchio-Caulley, PA-C

Individual provider Physician Assistant · NPI 1265806053

Noelle Dominique Vacchio-Caulley, PA-C is a Physician Assistant in Bend, Oregon. Qualified in 2015, 11 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
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

2042 NE Williamson Ct
Bend, OR 97701-3760
Phone: (541) 706-6905
Fax: (541) 706-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3311 Riverbend Dr, Springfield, OR 97477-8800 — (541) 968-6676

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 174942 (OR)

Record details

NPI number1265806053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 17, 2015
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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