Shannon Alexis Nichols, AUD - Medicare Audiologist in Portland, OR

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Shannon Alexis Nichols, AUD is a medicare enrolled "Audiologist" provider in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-5171.

Shannon Alexis Nichols is licensed to practice in Oregon (license number 31016) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801564398.

Contact Information

Shannon Alexis Nichols, AUD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-5171
(503) 494-4631

Map and Direction




Healthcare Provider's Profile

Full NameShannon Alexis Nichols
GenderFemale
SpecialityAudiologist
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801564398
  • Provider Enumeration Date: 08/31/2021
  • Last Update Date: 03/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426444126
  • Enrollment ID: I20220406000450

Medical Identifiers

Medical identifiers for Shannon Alexis Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801564398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 31016 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Alexis Nichols allows following entities to bill medicare on her behalf.
Provider NameOregon Health & Science University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609824010
PECOS PAC ID: 4284542945
Enrollment ID: O20040121000929
Provider NameUniversity Professional Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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. Shannon Alexis Nichols 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 AddressPractice Location Address
Shannon Alexis Nichols, AUD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-5171		Shannon Alexis Nichols, AUD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-5171

Reviews and Comments


Audiologist in Portland, OR

Haley Anna Szabo, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-5171    
Cynthia Herzog, M.S.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 921 Nw 18th Ave, Portland, OR 97209
Phone: 503-227-3666    
Allison M. Connolly, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225
Phone: 503-216-2339    
Maritza Zaldivar-lima, AU.D
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225
Phone: 503-216-2339    
Michele Samantha Lewis, PH.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-220-8262    
Mrs. Christina Marie Adams, AUD, CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3502 Ne Broadway St, Portland, OR 97232
Phone: 503-284-1906    Fax: 503-546-0894
Dustin Ooley,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 833 Ne 74th Ave, Portland, OR 97213
Phone: 503-916-5570    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.