NICOLE ELIZABETH BOLLENBECKER DNP, CPNP-PC
NPI 1164196572
Nurse Practitioner - Pediatrics in Seattle, WA

Q: What is Nicole Bollenbecker's NPI number?

The NPI number for Nicole Bollenbecker is 1164196572. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Q: What is Nicole Bollenbecker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 09, 2021PECOS Enrolled

825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 520-5000 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Feb 26, 2025, Mar 7, 2022 and 1 more (4 updates tracked since 2021).

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About Nicole Elizabeth Bollenbecker Dnp, Cpnp-pc NPPES

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

NICOLE ELIZABETH BOLLENBECKER DNP, CPNP-PC (NPI 1164196572) is an individual pediatrics provider in Seattle, Washington, licensed in Washington (AP70063760) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164196572

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLE ELIZABETH BOLLENBECKERCredential: DNP, CPNP-PC

Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5000

Phone(206) 520-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 9, 2021

Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1164196572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WA · AP70063760

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP70063760 (WA)

825 EASTLAKE AVE E, Seattle, WA 98109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Elizabeth Bollenbecker Dnp, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214416031

PECOS Enrollment IDI20260211001476

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

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

The Association Of University Physicians

1.5 mi

Anesthesiology

701 5TH AVE, SUITE 700
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
4,364 clinicians in this Medicare group

NPI 1023041159 (206) 543-6420

Association Of Chmc And University Physicians

1.6 mi

Orthopaedic Trauma

325 9TH AVE
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: The Association Of Chrmc And University Physicians
1,443 clinicians in this Medicare group

NPI 1215153671 (206) 731-3000

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 98109 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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.

SANDHYA RAMANATHAN PANCH M.D.

Internal Medicine (Hematology)