NICOLE ELLEDGE OTR
NPI 1003075417
Occupational Therapist in Lake Oswego, OR
About Nicole Elledge Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ELLEDGE OTR (NPI 1003075417) is an individual occupational therapist in Lake Oswego, Oregon, licensed in Oregon (1060547) and active in the NPI registry since June 2008. She maintains a secondary practice location in Newberg and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Elledge Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Elledge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 14 clinicians in this Medicare group
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Elledge's NPI number?
The NPI number for Nicole Elledge is 1003075417. It was assigned to this individual provider in the NPPES registry on June 2, 2008.
Where is Nicole Elledge located?
Nicole Elledge practices at 3900 Kruse Way Pl, Lake Oswego, OR 97035. The listed phone number is (503) 607-0566.
What is Nicole Elledge's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Nicole Elledge enrolled in Medicare?
Yes. Nicole Elledge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Elledge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Elledge reassigns Medicare benefits to 2 organizations: Tsl Well LLC (Lake Oswego, OR) and Premere Rehab LLC (Lake Oswego, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Elledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Elledge accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicole Elledge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Elledge was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.