Nicole L Entenza, APRN, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR

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Nicole L Entenza, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summerlin Mental Health Llc, Mindfulness Integrated Healthcare Odiwo Pllc and her current practice location is 310 Sw 4th Ave Ste 3-j, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 306-9305.

Nicole L Entenza is licensed to practice in Oregon (license number 10047025) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477819860.

Contact Information

Nicole L Entenza, APRN, PMHNP-BC
310 Sw 4th Ave Ste 3-j,
Portland, OR 97204-2345
(971) 306-9305
(971) 758-5726

Map and Direction




Provider's Profile

Full NameNicole L Entenza
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location310 Sw 4th Ave Ste 3-j, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole L Entenza graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1477819860
  • Provider Enumeration Date: 04/10/2012
  • Last Update Date: 07/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507399854
  • Enrollment ID: I20241025000918

Medical Identifiers

Medical identifiers for Nicole L Entenza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477819860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95024669 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10047025 (Oregon)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 865565 (Nevada)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summerlin Mental Health Llc97396261932
Mindfulness Integrated Healthcare Odiwo Pllc45870377182

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. Nicole L Entenza allows following entities to bill medicare on her behalf.
Entity NameMindfulness Integrated Healthcare Odiwo Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144949199
PECOS PAC ID: 4587037718
Enrollment ID: O20230308002306
Entity NameSummerlin Mental Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336980937
PECOS PAC ID: 9739626193
Enrollment ID: O20240802000909

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. Nicole L Entenza 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 AddressPractice Location Address
Nicole L Entenza, APRN, PMHNP-BC
35 E Horizon Ridge Pkwy Ste 110-403,
Henderson, NV 89002-7905

Ph: (702) 553-4105		Nicole L Entenza, APRN, PMHNP-BC
310 Sw 4th Ave Ste 3-j,
Portland, OR 97204-2345

Ph: (971) 306-9305

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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