Mrs Jennifer Nickell, MS, RD, LD in Lake Oswego, OR - Medicare Dietitian, Registered Provider

Mrs Jennifer Nickell, MS, RD, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Lake Oswego, Oregon. Her current practice location is 4948 Sw Meadow Ave, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 744-2061.

Mrs Jennifer Nickell is licensed to practice in * (Not Available) (license number 966403) 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 1164832713.

Contact Information

	Mrs Jennifer Nickell, MS, RD, LD
	4948 Sw Meadow Ave, Lake Oswego, OR 97035-2216
	(503) 744-2061
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Nickell
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	4948 Sw Meadow Ave, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164832713
Provider Enumeration Date: 05/05/2014
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1355794199
Enrollment ID: I20240129003236

Medical Identifiers

Medical identifiers for Mrs Jennifer Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164832713	NPI	-	NPPES
966403	Other		COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD-D-10159758 (Oregon)	Secondary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	966403 (* (Not Available))	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. Mrs Jennifer Nickell allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Mrs Jennifer Nickell 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
Mrs Jennifer Nickell, MS, RD, LD 4948 Sw Meadow Ave, Lake Oswego, OR 97035-2216 Ph: (503) 744-2061	Mrs Jennifer Nickell, MS, RD, LD 4948 Sw Meadow Ave, Lake Oswego, OR 97035-2216 Ph: (503) 744-2061

Reviews and Comments

Dietitian, Registered in Lake Oswego, OR

Alison Rieke Bame, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5157 Denton Dr, Lake Oswego, OR 97035 Phone: 503-730-1655
Lila Herrington, MS, RD, LD, CSCS,CLT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 155 B Ave, Suite 120, Lake Oswego, OR 97034 Phone: 503-788-9707
Lifestyle Nutrition Counseling, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17437 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035 Phone: 503-699-6948
Ms. Amy S Tung, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17486 Ridgeview Ln, Lake Oswego, OR 97034 Phone: 503-418-5257
Lo Solutions Dietitian Medicare: Not Enrolled in Medicare Practice Location: 155 B Ave, Ste 120, Lake Oswego, OR 97034 Phone: 503-789-9707
Kari Natwick Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19019 Terry Ave, Lake Oswego, OR 97035 Phone: 907-500-2757

Mrs Jennifer Nickell, MS, RD, LD - Medicare Dietitian in Lake Oswego, OR