JACOB NICHOLSON N.P.
NPI 1033516372
Nurse Practitioner - Family in Salem, OR
About Jacob Nicholson N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB NICHOLSON N.P. (NPI 1033516372) is an individual family provider in Salem, Oregon, licensed in Oregon (201408272NP-PP) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Nicholson N.p. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Salem Hospital
Acute Care Hospitals · Salem, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALEM, OR 97301
SALEM, OR 97301
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 Jacob Nicholson's NPI number?
The NPI number for Jacob Nicholson is 1033516372. It was assigned to this individual provider in the NPPES registry on December 2, 2014.
Where is Jacob Nicholson located?
Jacob Nicholson practices at 890 Oak St SE, Salem, OR 97301. The listed phone number is (503) 814-2154.
What is Jacob Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Nicholson enrolled in Medicare?
Yes. Jacob Nicholson 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.
Is Jacob Nicholson affiliated with any hospitals?
According to CMS data, Jacob Nicholson is affiliated with Salem Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Nicholson was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jacob Nicholson, N.P. · NPI 1033516372
Family physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since December 2, 2014.
## Identity
- **NPI:** 1033516372 (Entity type: Individual)
- **Enumerated:** December 2, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201408272NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 890 OAK ST SE, Salem, OR 97301-3905
- **Phone:** (503) 814-2154
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1033516372) · Data from the CMS NPPES public registry.