Jacqueline J Cole, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR

Jacqueline J Cole, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 5228 Ne Hoyt St Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (530) 215-4860.

Jacqueline J Cole is licensed to practice in Oregon (license number 201803764NP-PP) 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 1700241254.

Contact Information

Jacqueline J Cole, PMHNP-BC
5228 Ne Hoyt St Ste 300,
Portland, OR 97213-3055
(530) 215-4860
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline J Cole
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5228 Ne Hoyt St Ste 300, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700241254
  • Provider Enumeration Date: 12/29/2015
  • Last Update Date: 04/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496051989
  • Enrollment ID: I20231106003506

Medical Identifiers

Medical identifiers for Jacqueline J Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700241254NPI-NPPES
500748015MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95003585 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201803764NP-PP (Oregon)Primary

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. Jacqueline J Cole 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
Jacqueline J Cole, PMHNP-BC
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Jacqueline J Cole, PMHNP-BC
5228 Ne Hoyt St Ste 300,
Portland, OR 97213-3055

Ph: (530) 215-4860

Reviews and Comments


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