Nicole Hainley, AGACNP, FNP - Medicare Nurse Practitioner in Portland, OR

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Nicole Hainley, AGACNP, FNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon, Providence Health And Services Oregon and her current practice location is 9205 Sw Barnes Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-2906.

Nicole Hainley is licensed to practice in Oregon (license number 201150145NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609172006.

Contact Information

Nicole Hainley, AGACNP, FNP
9205 Sw Barnes Rd,
Portland, OR 97225-6603
(503) 215-2906
Not Available

Map and Direction




Provider's Profile

Full NameNicole Hainley
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location9205 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Hainley graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1609172006
  • Provider Enumeration Date: 02/02/2011
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911153077
  • Enrollment ID: I20120807000079

Medical Identifiers

Medical identifiers for Nicole Hainley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609172006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 201150145NP (Oregon)Secondary
363LA2100XNurse Practitioner - Acute Care 201150145NP (Oregon)Secondary
363LA2100XNurse Practitioner - Acute Care 201809639NP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 201150145NP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 336624 (New York)Secondary
363LG0600XNurse Practitioner - Gerontology 201150145NP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
Providence Health And Services Oregon9335057447137

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. Nicole Hainley allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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. Nicole Hainley 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
Nicole Hainley, AGACNP, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Nicole Hainley, AGACNP, FNP
9205 Sw Barnes Rd,
Portland, OR 97225-6603

Ph: (503) 215-2906

Reviews and Comments


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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.