NICOLE MARIE MCDANIEL PT
NPI 1104826601
Specialist in Portland, OR

Active since July 26, 2005Accepts Medicare Assignment
530 NW 23RD AVE, SUITE #116, PORTLAND, OR 97210(971) 258-0995(844) 364-4344 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Marie Mcdaniel Pt NPPES

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

NICOLE MARIE MCDANIEL PT (NPI 1104826601) is an individual specialist in Portland, Oregon, licensed in Oregon (5138) and active in the NPI registry since July 2005. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1104826601
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameNICOLE MARIE MCDANIELCredential: PT
Location Address530 NW 23RD AVE, SUITE #116Portland, OR 97210-3275
Mailing Address530 Nw 23rd Ave, Suite #116Portland, OR 97210-3287 · (971) 258-0995 · Fax (844) 364-4344
Fax(844) 364-4344
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 26, 2005
Last NPPES UpdateFebruary 20, 2017
NPI 1104826601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · 5138
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
530 NW 23RD AVE, Portland, OR 97210

Other Names 1

Other Name (5)Nicki Mcdaniel

Other Identifiers 2

Other2914NM · State Of Nm Reg & Licens.
Medicaid17657385NM

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

Nicole Marie Mcdaniel Pt 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 ID3173906245
PECOS Enrollment IDI20220823001327

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
530 NW 23RD AVE, SUITE 109
PORTLAND, OR 97210

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 Mcdaniel's NPI number?

The NPI number for Nicole Mcdaniel is 1104826601. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Nicki Mcdaniel.

Where is Nicole Mcdaniel located?

Nicole Mcdaniel practices at 530 NW 23rd Ave Suite #116, Portland, OR 97210. The listed phone number is (971) 258-0995.

What is Nicole Mcdaniel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nicole Mcdaniel enrolled in Medicare?

Yes. Nicole Mcdaniel 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 Mcdaniel accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicole Mcdaniel 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 Mcdaniel was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.