NICOLE E. PARKER (PA-C) – Medical Physician Assistant, NPI 1669478210

NICOLE E. PARKER (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00794 (OR). The NPI Number for NICOLE E. PARKER (PA-C) is 1669478210

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE E. PARKER (PA-C)
NPI
1669478210
Phone
(503) 413-3900
Address
PO BOX 3777
Enumeration Date
27 June 2005
Last Update Date
19 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034138988
Graduation Year
1996 (30 years ago)
PAC ID
2365452620
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20060501000678
Address ID
OR972102969PO1130XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for NICOLE E. PARKER (PA-C)

  • 3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States

    PORTLAND, OR 972083777

    Phone: (503) 413-3900

    Fax: (503) 413-3710

    Type: Mailing

  • 660, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972103083

    Phone: (503) 413-7162

    Fax: (503) 413-7148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Boston Scientific Corporation ($129).

Total Amount

$275

General + Research + Ownership

Payments

6

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

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: 2006-05-01

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
I20060501000678IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes190112$0
99215Established patient office or other outpatient visit, 40-54 minutes14094$0
99442Telephone medical discussion with physician, 11-20 minutes6550$0
99443Telephone medical discussion with physician, 21-30 minutes4732$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician2928$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Internal MedicineOR
Internal MedicineOR
Physician AssistantOR
Internal MedicineOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR

Reviews

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Frequently asked questions

Where can patients find NICOLE E. PARKER (PA-C)'s NPI?
You can confirm NICOLE E. PARKER (PA-C) with NPI 1669478210; it appears in the national provider directory.
Is NICOLE E. PARKER (PA-C) currently active in the NPI registry?
CMS-published data lists NICOLE E. PARKER (PA-C) as an active registrant.
What does NICOLE E. PARKER (PA-C) treat or focus on?
Patients typically see NICOLE E. PARKER (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE E. PARKER (PA-C)?
The snapshot lists Portland, Oregon for NICOLE E. PARKER (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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