ADRIENNE NICKLIN (MD) – Hospitalist Physician, NPI 1326036211

ADRIENNE NICKLIN (MD) is a healthcare provider. based in Springfield, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD26834 (OR). The NPI Number for ADRIENNE NICKLIN (MD) is 1326036211

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE NICKLIN (MD)
NPI
1326036211
Phone
(541) 222-6389
Address
3377 RIVERBEND DR
Enumeration Date
13 October 2005
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
5412227300
Graduation Year
2000 (26 years ago)
PAC ID
0941286017
Group Practice PAC ID
8527016039
Professional Enrollment ID
I20061003000081
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for ADRIENNE NICKLIN (MD)

  • 3377, Riverbend Drive, Springfield, Lane County, Oregon, 97477, United States

    SPRINGFIELD, OR 974778803

    Phone: (541) 222-6389

    Type: Location

  • PO BOX 24410

    EUGENE, OR 974020451

    Phone:

    Type: Mailing

  • PEACEHEALTH HOSPITAL MEDICINE

    3377 RIVERBEND DRIVE

    SPRINGFIELD, OR 974778803

    Phone: (541) 222-6389

    Fax: (541) 222-6385

    Type: Location

  • 4010 Aerial Way

    Eugene, OR 974029757

    Phone: (541) 687-6353

    Fax: (541) 242-8413

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061003000081IFamily PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes8685$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6362$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527016039View full group profile
NameSpecialtyState
Clinical PsychologistMT
Internal MedicineOR
Internal MedicineOR
Physician AssistantTX
Internal MedicineOR
Internal MedicineOR
Psychiatry, NeurologyNH
Internal MedicineFL
-NY
Internal MedicineOR

Reviews

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Frequently asked questions

How is ADRIENNE NICKLIN (MD) identified in CMS data?
CMS-hosted NPPES data lists ADRIENNE NICKLIN (MD) with NPI 1326036211.
Can I rely on ADRIENNE NICKLIN (MD) being an active provider?
As of the registry snapshot, ADRIENNE NICKLIN (MD) is marked active.
What is ADRIENNE NICKLIN (MD)'s primary classification?
Hospitalist Physician is the headline specialty for ADRIENNE NICKLIN (MD) here. Clinical services aligned with this taxonomy classification.
What area does ADRIENNE NICKLIN (MD) serve?
ADRIENNE NICKLIN (MD)'s listing highlights Springfield, Oregon; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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