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

Nolan Bastendorff, PA

Individual provider Physician Assistant · NPI 1104505031

Nolan Bastendorff, PA is a Physician Assistant in Grants Pass, Oregon. Qualified in 2023, 3 years ago. Practices with Asante Physician Partners, a 225-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

537 Union Ave Fl 2
Grants Pass, OR 97527-5543
Phone: (541) 507-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OR)

Record details

NPI number1104505031
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address537 Union Ave Fl 2, Grants Pass, OR 97527-5543

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grants Pass