NICOLE KRISTINE WIEGAND (M.A., LMFT) – Marriage & Family Therapist, NPI 1548880271
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
184 MARRIAGE AND FAMILY THERAPIST in OR
Provider Addresses for NICOLE KRISTINE WIEGAND (M.A., LMFT)
113 N ELM ST
CANBY, OR 970133519
Phone: (503) 263-8903
Type: Mailing
27501 SW 95TH AVE STE 960
WILSONVILLE, OR 970707713
Phone: (503) 372-5147
Type: Location
6909 SW WILSONVILLE RD APT 206
WILSONVILLE, OR 970705820
Phone: (541) 292-3692
Type: Mailing
420 NE 5TH ST
MCMINNVILLE, OR 971284603
Phone: (503) 434-7462
Type: Location
609 NE BAKER ST STE 260
MCMINNVILLE, OR 971284950
Phone: (971) 213-5025
Type: Mailing
7175 SW Beveland Rd Ste 200
Portland, OR 972238665
Phone: (971) 213-5025
Fax: (971) 228-5431
Type: Location
12909 SW 68th Pkwy Ste 100
Portland, OR 972238389
Phone: (971) 213-5025
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: 2024-02-02
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240202000921 | I | Marriage And Family Therapist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OR |
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