MS. NICOLE AMALIE FONTENOT PSYD
NPI 1053833244
Psychologist in Corvallis, OR

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment
87.12/100
CMS Quality Rating
3680 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 754-1267 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2021, Aug 18, 2021, Jul 10, 2017 (3 updates tracked since 2017).

About Ms. Nicole Amalie Fontenot Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE AMALIE FONTENOT PSYD (NPI 1053833244) is an individual psychologist in Corvallis, Oregon and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053833244
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. NICOLE AMALIE FONTENOTCredential: PSYD
Location Address3680 NW SAMARITAN DRCorvallis, OR 97330-3737
Mailing Address3680 Nw Samaritan DrCorvallis, OR 97330-3737 · (541) 754-1267
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2017
Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1053833244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3680 NW SAMARITAN DR, Corvallis, OR 97330

Accepted Insurance

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

Ms. Nicole Amalie Fontenot Psyd 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.

PECOS PAC ID9537557889
PECOS Enrollment IDI20211019002999
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.82
Promoting Interoperability100
Improvement Activities40
Cost79.26

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.

Emergency Medicine
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Internal Medicine (Hematology & Oncology)
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Pediatrics
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Orthopaedic Surgery
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Internal Medicine
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Internal Medicine
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Surgery
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Internal Medicine
3680 NW SAMARITAN DR
CORVALLIS, OR 97330

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 Fontenot's NPI number?

The NPI number for Nicole Fontenot is 1053833244. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Nicole Fontenot located?

Nicole Fontenot practices at 3680 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 754-1267.

What is Nicole Fontenot's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicole Fontenot enrolled in Medicare?

Yes. Nicole Fontenot 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.

What insurance does Nicole Fontenot accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicole Fontenot 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 Fontenot was last updated on November 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.