NICOLE L. ENTENZA (APRN, PMHNP-BC) – Registered Nurse, NPI 1477819860
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for NICOLE L. ENTENZA (APRN, PMHNP-BC)
310 SW 4th Ave Ste 3-J
Portland, OR 972042345
Phone: (503) 895-0151
Type: Location
2400 N TENAYA WAY STE 131
LAS VEGAS, NV 891280645
Phone: (702) 608-6403
Fax: (702) 608-9046
Type: Location
8440 W Lake Mead Blvd Ste 208
Las Vegas, NV 891287648
Phone: (702) 703-5262
Type: Location
35 E HORIZON RIDGE PKWY STE 110-403
HENDERSON, NV 890027905
Phone: (702) 553-4105
Type: Mailing
600 B ST STE 1570
SAN DIEGO, CA 921014560
Phone: (619) 615-0439
Fax: (619) 615-3197
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $944.
Total Amount is formed as General ($944) + Research ($0) + Ownership ($0) = $944.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($277).
Total Amount
$944
General + Research + Ownership
Payments
9
Total payment records
General Amount
$944
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $277 |
| Neurocrine BioSciences Inc. | $187 |
| E.R. Squibb & Sons, L.L.C. | $125 |
| Axsome Therapeutics, Inc. | $122 |
| Vanda Pharmaceuticals Inc. | $117 |
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: 2024-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241025000918 | I | Nurse Practitioner | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX |
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