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MRS. NICOLE MARIE SPOTSWOOD MA
NPI 1104230069
Counselor - Mental Health in Vancouver, WA

Active since June 18, 2014PECOS Enrolled
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661(360) 397-8484(360) 397-8494 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Nicole Marie Spotswood Ma NPPES

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

MRS. NICOLE MARIE SPOTSWOOD MA (NPI 1104230069) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104230069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. NICOLE MARIE SPOTSWOODCredential: MA
Location Address1601 E 4TH PLAIN BLVD, BLDG 17 STE B222Vancouver, WA 98661-3753
Mailing AddressPo Box 1845Vancouver, WA 98668-1845 · (360) 397-8484 · Fax (360) 397-8494
Phone(360) 397-8484
Fax(360) 397-8494
Sole ProprietorNo
Enumeration DateJune 18, 2014
✔ NPI 1104230069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1601 E 4TH PLAIN BLVD, Vancouver, WA 98661
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Marie Spotswood Ma 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 Reassignment

Medicare enrollment records show Nicole Spotswood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willamette Health & Wellness LLC
6.4 mi
Psychiatric/Mental Health
700 NE MULTNOMAH ST, SUITE 275
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 24 clinicians in this Medicare group
NPI 1093140188 (503) 729-1380

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

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.

LETICIA CUEVAS
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
CHARLENE PEDERSON CG
Counselor
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
ESMERALDA XOCHITL GARCIA SUDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BUILDING #17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. HAILEY ANNE LESLIE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MR. TREVOR C MILLER CTRS
Recreation Therapist
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-4061
DR. SUZANNE BEVERLEE MILLAR PHARM.D.
Pharmacist (Pharmacotherapy)
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (503) 220-8262
MRS. COURTNEY RENAE RARDIN BA
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MRS. BARBARA JEAN COLLERAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484

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 Spotswood's NPI number?

The NPI number for Nicole Spotswood is 1104230069. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Nicole Spotswood located?

Nicole Spotswood practices at 1601 E 4th Plain Blvd Bldg 17 Ste B222, Vancouver, WA 98661. The listed phone number is (360) 397-8484.

What is Nicole Spotswood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Spotswood enrolled in Medicare?

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

Which organization bills Medicare for Nicole Spotswood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Spotswood reassigns Medicare benefits to Willamette Health & Wellness LLC (Portland, OR). The 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 Spotswood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Spotswood accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Nicole Spotswood 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 Spotswood was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.