MS. NIKOLE ANNE GOOCHER NP
NPI 1063232239
Nurse Practitioner - Acute Care in Portland, OR

Active since October 14, 2024PECOS EnrolledAccepts Medicare Assignment
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-1234 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nikole Anne Goocher Np NPPES

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

MS. NIKOLE ANNE GOOCHER NP (NPI 1063232239) is an individual acute care provider in Portland, Oregon, licensed in Oregon (10031933) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063232239
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. NIKOLE ANNE GOOCHERCredential: NP
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 14, 2024
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1063232239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OR · 10031933
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 10031933 (OR)
9205 SW BARNES RD, Portland, OR 97225

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. Nikole Anne Goocher Np 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 ID8224568076
PECOS Enrollment IDI20250207002416
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225

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 Nikole Goocher's NPI number?

The NPI number for Nikole Goocher is 1063232239. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Nikole Goocher located?

Nikole Goocher practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-1234.

What is Nikole Goocher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nikole Goocher enrolled in Medicare?

Yes. Nikole Goocher 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 Nikole Goocher affiliated with any hospitals?

According to CMS data, Nikole Goocher is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nikole Goocher was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.