MS. NIKOLE ANNE GOOCHER NP
NPI 1063232239
Nurse Practitioner - Acute Care in Portland, OR
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nikole Goocher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 1,501 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.
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, ORPhysician 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.
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.
PORTLAND, OR 97225
PORTLAND, OR 97225
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.
Which organizations bill Medicare for Nikole Goocher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikole Goocher reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services Oregon (Portland, 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 Nikole Goocher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Ms. Nikole Anne Goocher, NP · NPI 1063232239
Acute Care physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 14, 2024.
## Identity
- **NPI:** 1063232239 (Entity type: Individual)
- **Enumerated:** October 14, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 10031933 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9205 SW BARNES RD, Portland, OR 97225-6603
- **Phone:** (503) 216-1234
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1114015971, Portland, OR); Providence Health & Services Oregon (NPI 1053403394, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063232239) · Data from the CMS NPPES public registry.