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DR. NICOLE OBERFOELL MD
NPI 1083141683
Family Medicine in Santa Monica, CA

Active since May 15, 2017PECOS Enrolled
80.8/100
CMS Quality Rating
1417 2ND ST STE D, SANTA MONICA, CA 90401(424) 321-4297 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2024, Jul 21, 2022, Jul 5, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Nicole Oberfoell Md NPPES

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

DR. NICOLE OBERFOELL MD (NPI 1083141683) is an individual family medicine provider in Santa Monica, California, licensed in California (A184322) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1083141683
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLE OBERFOELLCredential: MD
Location Address1417 2ND ST STE DSanta Monica, CA 90401-2399
Mailing Address1633 W Bruin StLos Angeles, CA 90047-4864 · (310) 918-4406
Phone(424) 321-4297
Sole ProprietorNo
Enumeration DateMay 15, 2017
Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1083141683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A184322✔ Licensed in GA · 89163✔ Licensed in MT · 125530
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1417 2ND ST STE D, Santa Monica, CA 90401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11107 E 66th StSavannah, GA 31404-5701 · Phone (912) 350-8404 · Fax (902) 350-8067

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Oberfoell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignments

2

Medicare enrollment records show Nicole Oberfoell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bozeman Health Deaconess Hospital
896 mi
Emergency Medicine
915 HIGHLAND BLVD
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 402 clinicians in this Medicare group
NPI 1437529112 (406) 414-5000
Tift Regional Health System Inc
2,033 mi
School
1464 CARPENTER ROAD S
Tifton, GA 31793
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1508428442 (229) 353-2227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

80.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.76
Promoting Interoperability87
Improvement Activities40
Cost58.08

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY LAUREN ENNIS CNM, WHNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
1417 2ND ST STE D
SANTA MONICA, CA 90401
Los Angeles County (646) 650-5337
AJA LIN JONES NP
Nurse Practitioner (Psychiatric/Mental Health)
1417 2ND ST STE D
SANTA MONICA, CA 90401
Los Angeles County (646) 650-5337
NASYA HURTADO LAC.
Acupuncturist
1417 2ND ST STE D
SANTA MONICA, CA 90401
Los Angeles County (646) 650-5337

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 Oberfoell's NPI number?

The NPI number for Nicole Oberfoell is 1083141683. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Nicole Oberfoell located?

Nicole Oberfoell practices at 1417 2nd St Ste D, Santa Monica, CA 90401. The listed phone number is (424) 321-4297.

What is Nicole Oberfoell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Oberfoell enrolled in Medicare?

Yes. Nicole Oberfoell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Oberfoell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Oberfoell reassigns Medicare benefits to 2 organizations: Bozeman Health Deaconess Hospital (Bozeman, MT) and Tift Regional Health System Inc (Tifton, GA). 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 Oberfoell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Oberfoell accept?

Health plans from Mountain Health CO-OP list Nicole Oberfoell 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 Oberfoell was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.