Johnny Nolan, DO is a medicare enrolled "Internal Medicine" physician in Happy Valley, Oregon. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2025 and has 1 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice The Vancouver Clinic Inc Ps and his current practice location is
11211 Se 82nd Ave Ste Z, Happy Valley, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 432-7555.
Johnny Nolan is licensed to practice in Oregon (license number DO226572) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215677653.
Physician's Profile
| Full Name | Johnny Nolan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 1 Years |
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| Location | 11211 Se 82nd Ave Ste Z, Happy Valley, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Johnny Nolan attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2025
NPI Data:
- NPI Number: 1215677653
- Provider Enumeration Date: 04/01/2022
- Last Update Date: 08/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628435989
- Enrollment ID: I20250905004135
Medical Identifiers
Medical identifiers for Johnny Nolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215677653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | DO226572 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Vancouver Clinic Inc Ps | 3173436490 | 581 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Nolan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Johnny Nolan, DO
502 W Highland Blvd,
Inverness, FL 34452-4720
Ph: (352) 726-1551 | Johnny Nolan, DO
11211 Se 82nd Ave Ste Z,
Happy Valley, OR 97086-7669
Ph: (971) 432-7555 |
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