Ms Nicole N Ransbottom, AGACNP in Portland, OR

Ms Nicole N Ransbottom, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Portland, Oregon. Her current practice location is 4400 Ne Halsey St Ste 102, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 962-1000.

Ms Nicole N Ransbottom is licensed to practice in Oregon (license number 202212418NP-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 1255065330.

Contact Information

	Ms Nicole N Ransbottom, AGACNP
	4400 Ne Halsey St Ste 102, Portland, OR 97213-1545
	(503) 962-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Nicole N Ransbottom
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4400 Ne Halsey St Ste 102, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255065330
Provider Enumeration Date: 07/13/2022
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7517333792
Enrollment ID: I20221012002587

Medical Identifiers

Medical identifiers for Ms Nicole N Ransbottom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255065330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	202201786RN (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	202212418NP-PP (Oregon)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	202212418NP-PP (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. Ms Nicole N Ransbottom allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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. Ms Nicole N Ransbottom 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
Ms Nicole N Ransbottom, AGACNP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Ms Nicole N Ransbottom, AGACNP 4400 Ne Halsey St Ste 102, Portland, OR 97213-1545 Ph: (503) 962-1000

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Ms Nicole N Ransbottom, AGACNP - Medicare Nurse Practitioner in Portland, OR