Nicole C Tabbal, AGACNP in Wilsonville, OR - Medicare Nurse Practitioner

Nicole C Tabbal, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Wilsonville, Oregon. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oregon Vascular Specialists Llc and her current practice location is 25030 Sw Parkway Ave Ste 200, Wilsonville, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 434-0080.

Nicole C Tabbal is licensed to practice in Oregon (license number 201906846NP-PP) 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 1992350854.

Contact Information

	Nicole C Tabbal, AGACNP
	25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816
	(971) 434-0080
	(503) 946-3891

Map and Direction

Provider's Profile

Full Name	Nicole C Tabbal
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	25030 Sw Parkway Ave Ste 200, Wilsonville, Oregon
Accepts Medicare Assignments	Yes. 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 C Tabbal graduated from nursing school in 2019

NPI Data:

NPI Number: 1992350854
Provider Enumeration Date: 08/07/2019
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 0749611499
Enrollment ID: I20200512003620

Medical Identifiers

Medical identifiers for Nicole C Tabbal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992350854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	201906846NP-PP (Oklahoma)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	201906846NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Milwaukie Hospital	Milwaukie, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Vascular Specialists Llc	8022386663	11

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 C Tabbal allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services - Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services - Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Oregon Vascular Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669917167 PECOS PAC ID: 8022386663 Enrollment ID: O20170622001858

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 C Tabbal 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
Nicole C Tabbal, AGACNP 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 Ph: (971) 434-0080	Nicole C Tabbal, AGACNP 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 Ph: (971) 434-0080

Reviews and Comments

Nurse Practitioner Nurses in Wilsonville, OR

Mrs. Heather Jean Sanudo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070 Phone: 503-570-6732
Brenna Laine Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 619-992-2543
Mrs. Angela Myriah Rose, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28900 Sw Villebois Dr., Suite D, Wilsonville, OR 97070 Phone: 503-482-5570
Carla Rayne Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30250 Sw Parkway Ave, Suite 7, Wilsonville, OR 97070 Phone: 503-570-3366 Fax: 503-570-3367
Mrs. Alysa Patricia Hilton, RN, MS, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25749 Sw Canyon Creek Rd, Suite 600, Wilsonville, OR 97070 Phone: 503-486-1022 Fax: 503-682-7596
Penny Denise Leininger, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25600 Sw Argyle Ave, Wilsonville, OR 97070 Phone: 415-360-3348
Kimberley Anne Garrison, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32100 Sw French Prairie Dr, Wilsonville, OR 97070 Phone: 503-694-2800 Fax: 503-694-5124

Nicole C Tabbal, AGACNP - Medicare Nurse Practitioner in Wilsonville, OR