NPPES file of Aug 9, 2026

Angelique Victoria Holley

Physician Assistant · Salem, OR

Angelique Victoria Holley is a physician assistant with a practice address in Salem, Oregon, and NPI 1205659174, issued on Nov 7, 2024. Check the license (Oregon PA228517, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205659174
Name
Angelique Victoria Holley
Primary taxonomy
Physician Assistant 363A00000X
License number
PA228517 OR
Self-reported in NPPES; status is on the state search
Practice location
3896 Beverly Ave NE Ste 40, Salem, OR 97305
Phone
(503) 588-0076
Enumerated
Nov 7, 2024
Record last updated
Mar 2, 2026
Medicare enrollment
Enrolled (PECOS I20260316003685); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3896 Beverly Ave NE Ste 40

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. McKenna Chandler, PA-SPhysician Assistant1053934026
  2. Roberto Guillen, PA-CPhysician Assistant1881746196
  3. Amber NorthcuttPhysician Assistant1518526490
  4. Rocio Petersen, MS, RDNRegistered Dietitian1982094645
  5. Carolina Regalado Murillo, MPHPhysician Assistant1316615545
  6. Bjai Rice, DOFamily Medicine Physician1912490954

Verify Angelique Victoria Holley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license PA228517
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Angelique Victoria Holley among 2,094 physician assistant records in Oregon

Angelique Victoria Holley is one of 2,094 physician assistant records with a practice address in Oregon. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 89% of them.

  • NPI issued2024 · 89% of these records are older, 4% newer
  • In a Medicare fileNo · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2025 · median 2017 among the 1,552 with a school on file
  • Record last updated2026 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

128 physician assistant records list a practice address in Salem

They are 128 of the 6,700 NPPES records with a practice address in Salem, and 2,094 physician assistant records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. Francine Boullosa, PHYSICIAN ASSISTANTSalem, OR 973051275645715
  2. McKenna Chandler, PA-SSalem, OR 973051053934026
  3. Lorena Cline, PA-CLake Oswego, OR 973051457531147
  4. Roberto Guillen, PA-CSalem, OR 973051881746196
  5. Allison Journey, PA-CSalem, OR 973051477080810
  6. Crystal Neideigh, PA-CSalem, OR 973051750497947
  7. Amber NorthcuttSalem, OR 973051518526490
  8. Carolina Regalado Murillo, MPHSalem, OR 973051316615545

Common questions

What is Angelique Victoria Holley's NPI number?

Angelique Victoria Holley's National Provider Identifier (NPI) is 1205659174, issued on Nov 7, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Angelique Victoria Holley located?

The NPPES record lists a practice address at 3896 Beverly Ave NE Ste 40, Salem, OR, 97305. Phone: (503) 588-0076. Providers update this record themselves, so call before visiting.

How can I verify Angelique Victoria Holley's license?

NPPES lists Oregon license number PA228517, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.