NICOLE GROLL OTR/L
NPI 1124763503
Occupational Therapist in Salem, OR
About Nicole Groll Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE GROLL OTR/L (NPI 1124763503) is an individual occupational therapist in Salem, Oregon, licensed in Oregon (469582) and active in the NPI registry since May 2022.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Groll Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Groll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenview, IL 60026
- Reassigned Medicare billing, Oregon enrollment
- 45 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.
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.
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 Groll's NPI number?
The NPI number for Nicole Groll is 1124763503. It was assigned to this individual provider in the NPPES registry on May 1, 2022.
Where is Nicole Groll located?
Nicole Groll practices at 2611 Pringle Rd SE, Salem, OR 97302. The listed phone number is (860) 613-9930.
What is Nicole Groll's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Nicole Groll enrolled in Medicare?
Yes. Nicole Groll is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Groll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Groll reassigns Medicare benefits to Select Rehabilitation, LLC (Glenview, IL). 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 Groll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Groll accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Nicole Groll 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 Groll was last updated on April 19, 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.