NICOLE MARIE JANKE (FNP-C) – Family Nurse Practitioner, NPI 1548949613

NICOLE MARIE JANKE (FNP-C) is a healthcare provider. based in Coos bay, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 10011554 (OR). The NPI Number for NICOLE MARIE JANKE (FNP-C) is 1548949613

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE JANKE (FNP-C)
NPI
1548949613
Phone
(541) 297-8955
Address
1105 N 7TH ST
Enumeration Date
14 July 2023
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413963111
Graduation Year
2023 (3 years ago)
PAC ID
9436511235
Group Practice PAC ID
6901714591
Professional Enrollment ID
I20230810002221
Address ID
OR974231755CO790XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for NICOLE MARIE JANKE (FNP-C)

  • 1105 N 7TH ST

    COOS BAY, OR 974202466

    Phone: (541) 297-8955

    Type: Mailing

  • 790 E 5TH ST

    COQUILLE, OR 974231755

    Phone: (541) 396-3111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($26).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-10

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
I20230810002221INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97420)

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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: 6901714591View full group profile
NameSpecialtyState
Family PracticeOR
Diagnostic RadiologyPR
-OR
Family Practice, Osteopathic Manipulative MedicineOR
General SurgeryMA
Physician AssistantOR
-OR

Reviews

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Frequently asked questions

Can I verify NICOLE MARIE JANKE (FNP-C) with an NPI only?
You can start verification with NPI 1548949613 for NICOLE MARIE JANKE (FNP-C), then check state licensing separately.
Is NICOLE MARIE JANKE (FNP-C) listed as active for patients and plans?
The listing shows NICOLE MARIE JANKE (FNP-C) as active in the NPI system.
What is NICOLE MARIE JANKE (FNP-C) best known for clinically?
Directory data describes NICOLE MARIE JANKE (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does NICOLE MARIE JANKE (FNP-C) serve?
NICOLE MARIE JANKE (FNP-C)'s listing highlights Coos Bay, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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