Question 1

What type of a medical provider is Michelle Dezura Anthony?

Accepted Answer

Michelle Dezura Anthony is a Nurse Practitioner (Adult Health).

Question 2

Where does Michelle Dezura Anthony practice medicine?

Accepted Answer

Michelle Dezura Anthony has the following practice address:5125 SKYLINE RD S, SALEM, OR 97306-9427

Question 3

Does this provider have a license number?

Accepted Answer

Michelle Dezura Anthony has 4 license numbers, including: License Number 201392913NP-PP issued in Oregon.

Question 4

Does Michelle Dezura Anthony accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Michelle Dezura Anthony have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Michelle Dezura Anthony a member of any Medical Groups?

Accepted Answer

Michelle Dezura Anthony is affiliated with one medical group in the SALEM area, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.

Question 7

Does Michelle Dezura Anthony participate in PECOS?

Accepted Answer

Yes, Michelle Dezura Anthony participates in PECOS.

Question 8

What phone number can I call to contact Michelle Dezura Anthony?

Accepted Answer

You can call the following number: (503)-315-4663

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Michelle Dezura Anthony.

Question 10

Is Michelle Dezura Anthony  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 3 years ago (3/10/2022).

Type/Issuer	Identifier	State
MEDICAID	00754042	MS
MEDICAID	1013889	LA

Taxonomy	State	Primary?
Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X	OR	Y
Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X	LA	N
Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X	WA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20140529000430
PECOS Individual PAC ID:	4284727082
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Michelle Dezura Anthony

Overview