Nicolle Asencio, in Portland, OR - Medicare Nurse Practitioner

Nicolle Asencio, is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Wallace Medical Concern and her current practice location is 19500 Se Stark St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (800) 813-2000.

Nicolle Asencio is licensed to practice in Oregon (license number 10031838) 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 1225753692.

Contact Information

	Nicolle Asencio,
	19500 Se Stark St, Portland, OR 97233-5757
	(800) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicolle Asencio
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	19500 Se Stark St, Portland, 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:

Nicolle Asencio graduated from nursing school in 2024

NPI Data:

NPI Number: 1225753692
Provider Enumeration Date: 10/07/2022
Last Update Date: 11/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8921521246
Enrollment ID: I20250327001995

Medical Identifiers

Medical identifiers for Nicolle Asencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225753692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10031838 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Mount Hood Medical Center	Gresham, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Wallace Medical Concern	2365680865	10

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. Nicolle Asencio allows following entities to bill medicare on her behalf.

Entity Name	The Wallace Medical Concern
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841592110 PECOS PAC ID: 2365680865 Enrollment ID: O20150224001107

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. Nicolle Asencio 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
Nicolle Asencio, 8703 N Chase Ave, Portland, OR 97217 Ph: (503) 975-6187	Nicolle Asencio, 19500 Se Stark St, Portland, OR 97233-5757 Ph: (800) 813-2000

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

Nicolle Asencio, - Medicare Nurse Practitioner in Portland, OR