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

Ivy Nicole Tueller, PA

Individual provider Surgical Physician Assistant · NPI 1790268209

Ivy Nicole Tueller, PA is a Physician Assistant in Hermiston, Oregon. Graduated from Mercy College in 2018, 8 years ago. Practices with Good Shepherd Health Care System, a 118-clinician group and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
8
Trained at
Mercy College
Licensed in
NY, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

620 NW 11th St Ste M206
Hermiston, OR 97838-6941
Phone: (541) 667-3804
Fax: (541) 667-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA218318 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 022776 (NY)

Record details

NPI number1790268209
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2018 (8 years in practice)
Group practice Good Shepherd Health Care System — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 66 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Good Shepherd Health Care System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 118 clinicians in the practice; 12 are shown here.