NICOLE C TABBAL (AGACNP) – Acute Care Nurse Practitioner, NPI 1992350854
Acute Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for NICOLE C TABBAL (AGACNP)
9427 SW Barnes Rd Ste 495
Portland, OR 972256612
Phone: (503) 216-0990
Fax: (503) 962-1021
Type: Location
4400 NE Halsey St Ste 102
Portland, OR 972131545
Phone: (503) 216-0990
Fax: (503) 962-1021
Type: Location
21235, Southwest Madeira Terrace, Six Corners, Sherwood, Metro, Washington County, Oregon, 97140, United States
SHERWOOD, OR 971408982
Phone:
Type: Mailing
Northeast Hoyt Street, Wilkes, Portland, Metro, Multnomah County, Oregon, 97230, United States
PORTLAND, OR 972132984
Phone: (503) 516-3273
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
25030 SW PARKWAY AVE STE 200
WILSONVILLE, OR 970709816
Phone: (971) 434-0080
Fax: (503) 946-3891
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,704.
Total Amount is formed as General ($1,704) + Research ($0) + Ownership ($0) = $1,704.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($434).
Total Amount
$1,704
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,704
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 |
|---|---|
| Medtronic, Inc. | $434 |
| Silk Road Medical, Inc. | $410 |
| Boston Scientific Corporation | $244 |
| Inari Medical, Inc. | $187 |
| Abbott Laboratories | $181 |
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: 2020-05-12
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 |
|---|---|---|---|---|
| I20200512003620 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 152 | 131 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 75 | 75 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 22 | 22 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 21 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 97225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | OR | |
| Vascular Surgery | UT | |
| Vascular Surgery | OR | |
| General Surgery, Vascular Surgery | OR | |
| Vascular Surgery, General Surgery | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| General Surgery, Vascular Surgery | OR | |
| General Surgery, Vascular Surgery | CT | |
| Vascular Surgery | OR |
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