NICHOLE D ADAMS (ARNP) – Family Nurse Practitioner, NPI 1639908486

NICHOLE D ADAMS (ARNP) is a healthcare provider. based in Longview, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN60475489 (WA). The NPI Number for NICHOLE D ADAMS (ARNP) is 1639908486

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLE D ADAMS (ARNP)
NPI
1639908486
Phone
(360) 414-7800
Address
1615 Delaware St
Enumeration Date
30 July 2024
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603309044
Graduation Year
2024 (2 years ago)
PAC ID
0143753632
Group Practice PAC ID
5496641177
Professional Enrollment ID
I20241022004534
Address ID
WA985314554CE2428XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for NICHOLE D ADAMS (ARNP)

  • 1615 Delaware St

    Longview, WA 986322367

    Phone: (360) 414-7800

    Fax: (360) 414-7808

    Type: Location

  • 10106 NE 21ST ST

    VANCOUVER, WA 986642908

    Phone: (208) 724-2950

    Type: Mailing

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: 2024-10-22

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
I20241022004534INurse PractitionerWATBD

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 98632)

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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: 5496641177View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerID
Nurse PractitionerWA
Mental Health CounselorWA
Marriage And Family TherapistWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Nurse PractitionerFL
-WA

Reviews

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Frequently asked questions

Can I use this page to confirm NICHOLE D ADAMS (ARNP)'s NPI?
Yes. NICHOLE D ADAMS (ARNP) is listed with NPI 1639908486 in the public NPI dataset.
Does CMS list NICHOLE D ADAMS (ARNP) as active?
Yes — NICHOLE D ADAMS (ARNP) is active in the NPI listing used on this page.
What is NICHOLE D ADAMS (ARNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for NICHOLE D ADAMS (ARNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect NICHOLE D ADAMS (ARNP) on a map?
Expect Longview, Washington as a primary anchor for NICHOLE D ADAMS (ARNP) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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