NICOLE M KIRKER (NP) – Acute Care Nurse Practitioner, NPI 1780611988

NICOLE M KIRKER (NP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 200850024NP (OR). The NPI Number for NICOLE M KIRKER (NP) is 1780611988

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M KIRKER (NP)
NPI
1780611988
Phone
(503) 494-9000
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
26 June 2006
Last Update Date
8 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
2005 (21 years ago)
PAC ID
4688687064
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20080718000170
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for NICOLE M KIRKER (NP)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 494-9000

    Mailing address matches the actual address.

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: 2008-07-18

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
I20080718000170INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2512$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

How do I look up NICOLE M KIRKER (NP) by NPI?
Use NPI 1780611988 when you need to reference NICOLE M KIRKER (NP) in forms, claims, or directories.
Is NICOLE M KIRKER (NP)'s NPI currently valid?
The extract we use shows NICOLE M KIRKER (NP) as active.
What does NICOLE M KIRKER (NP) treat or focus on?
Patients typically see NICOLE M KIRKER (NP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE M KIRKER (NP)?
The page summarizes Portland, Oregon for NICOLE M KIRKER (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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