NICOLE J BANGS P.A.-C.
NPI 1336242536
Physician Assistant - Surgical in Salem, OR

NPI Status: Active since September 06, 2006

Contact Information

1600 STATE ST
SALEM, OR
ZIP 97301
Phone: (503) 540-6300
Fax: (503) 540-6404

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  • Individual
  • Female
  • Years of Experience 20
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICOLE BANGS

This page provides the complete NPI Profile along with additional information for Nicole Bangs, a provider established in Salem, Oregon with a medical specialization in Physician Assistant, focusing in surgical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1336242536 assigned on September 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA156470 (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1336242536
Provider Name
NICOLE J BANGS P.A.-C.
Other Name
NICOLE J GALLOB P.A.-C.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1600 STATE ST SALEM, OR 97301
Location Phone
(503) 540-6300
Location Fax
(503) 540-6404
Mailing Address
1600 STATE ST SALEM, OR 97301
Mailing Phone
(503) 540-6300
Mailing Fax
(503) 540-6404
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
09-06-2006
Last Update Date
02-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA156470
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500640158MEDICAID (05)OR 
161594MEDICARE PIN (08)OR 

Medicare Participation & PECOS Enrollment Status

Nicole Bangs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicole Bangs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224035134

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20111108000383

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 29 times for 25 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 65 times for 57 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 24 times for 22 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

This service was performed 35 times for 19 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 29 times for 29 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 34 times for 33 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 24 times for 24 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

This service was performed 38 times for 22 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicole Bangs is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROVIDENCE MILWAUKIE HOSPITAL10150 SE 32ND AVENUE
MILWAUKIE, OR 97222
(503) 513-8336Acute Care Hospitals
LEGACY MERIDIAN PARK MEDICAL CENTER19300 SW 65TH AVENUE
TUALATIN, OR 97062
(503) 692-2182Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336242536
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236644456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 4 + 4 + 5 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336242536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588717680 STEPHEN RAY STEWART M.D.
Individual
Internal Medicine (Rheumatology)1600 STATE ST
SALEM, OR 97301
(503) 540-6400
1467787085MS. CATHERINE JOAN COEN
Individual
Physical Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1588955314WILLAMETTE ORTHOPEDIC GROUP LLC
Organization
Orthopaedic Surgery (Sports Medicine)1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1689861122 ANDREW J COX OTRL CHT
Individual
Occupational Therapist (Hand)1600 STATE ST
SALEM, OR 97301
(503) 540-6472
1376843417 MICHELLE E LEWIS PA-C
Individual
Physician Assistant1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1184965253MR. CASEY LEWIS SHAW PA-C
Individual
Physician Assistant (Surgical)1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1215273412 JESSICA MCGUIRE PT, DPT
Individual
Physical Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1134143563DR. MAGDALENA JANINA BANASIAK MD
Individual
Neurological Surgery1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1629158555 MARK D HEALY OTRL CHT
Individual
Occupational Therapist (Hand)1600 STATE ST
SALEM, OR 97301
(503) 540-6472
1730269424 SUSAN L TRANTHAM MSPT ATCR
Individual
Physical Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6471
1538337977 CHRISTA K ANTRIM
Individual
Physical Therapist (Orthopedic)1600 STATE ST
SALEM, OR 97301
(503) 540-6472
1821412271 ELIZABETH HORNER DPT
Individual
Physical Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1942650825 THOMAS MCGRATH DPT
Individual
Physical Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1952671901MR. BRETT JAMES HENSLEY MOT
Individual
Occupational Therapist (Hand)1600 STATE ST
SALEM, OR 97301
(540) 540-6300
1194098517 JARROD LUMMIS PT
Individual
Physical Therapist (Orthopedic)1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1104103621 GREGORY H. TRAEGER OTR
Individual
Occupational Therapist1600 STATE ST
SALEM, OR 97301
(503) 540-6478
1952342354 ERIN E BJORKLUND N.P.
Individual
Nurse Practitioner1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1124221726 SUDEEP TAKSALI MD
Individual
Orthopaedic Surgery1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1528267374MR. SEAN C ELLIOTT ANP
Individual
Nurse Practitioner1600 STATE ST
SALEM, OR 97301
(503) 540-6300
1629236229DR. KELLY R MCCORMICK MD
Individual
Orthopaedic Surgery1600 STATE ST
SALEM, OR 97301
(503) 540-6300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336242536, enumerated in the NPI registry as an "individual" on September 06, 2006

The provider is located at 1600 State St Salem, Or 97301 and the phone number is (503) 540-6300

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 20 years of experience.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment and Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment.

The practitioner is affiliated to the following hospital(s): PROVIDENCE MILWAUKIE HOSPITAL and LEGACY MERIDIAN PARK MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.