Jacob Nicholson, NP in Salem, OR - Medicare Nurse Practitioner

Jacob Nicholson, NP is a medicare enrolled "Nurse Practitioner - Family" in Salem, Oregon. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Salem Health and his current practice location is 890 Oak St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 814-2154.

Jacob Nicholson is licensed to practice in Oregon (license number 201408272NP-PP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033516372.

Contact Information

	Jacob Nicholson, NP
	890 Oak St Se, Salem, OR 97301-3905
	(503) 814-2154
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Nicholson
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	890 Oak St Se, Salem, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Nicholson graduated from nursing school in 2014

NPI Data:

NPI Number: 1033516372
Provider Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014

Medicare PECOS Information:

PECOS PAC ID: 5395063952
Enrollment ID: I20150410000026

Medical Identifiers

Medical identifiers for Jacob Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033516372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	200842785RN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	201408272NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salem Hospital	Salem, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Health	8628986668	387

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

Entity Name	Salem Health Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Nicholson, NP 890 Oak St Se, Salem, OR 97301-3905 Ph: (503) 814-2154	Jacob Nicholson, NP 890 Oak St Se, Salem, OR 97301-3905 Ph: (503) 814-2154

Reviews and Comments

Nurse Practitioner Nurses in Salem, OR

Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Jacob Nicholson, NP - Medicare Nurse Practitioner in Salem, OR