NICOLLE A RENFRO (PA-C) – Physician Assistant, NPI 1447653324
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for NICOLLE A RENFRO (PA-C)
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
200 S HAZEL DELL WAY STE 205
CANBY, OR 970137828
Phone: (503) 405-3700
Type: Location
13838 S 46TH PL STE 125
PHOENIX, AZ 850447802
Phone: (480) 783-7000
Fax: (480) 783-9071
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150429001839 | I | Physician Assistant | AZ | TBD |
| I20240614002965 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 116 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 78 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 43 | 41 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 34 | 17 | $0 |
| 81003 | Automated urinalysis test | 29 | 29 | $0 |
Insurance plans in this area (ZIP 97208)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.