1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile

NICOLE MACKENZIE BENNETT PMHNP
NPI 1164654166
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 10, 2009PECOS Enrolled
700 NE MULTNOMAH ST, SUITE 275, PORTLAND, OR 97232(503) 729-1380(503) 841-6343 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Mackenzie Bennett Pmhnp NPPES

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

NICOLE MACKENZIE BENNETT PMHNP (NPI 1164654166) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200950088NP) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164654166
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE MACKENZIE BENNETTCredential: PMHNP
Location Address700 NE MULTNOMAH ST, SUITE 275Portland, OR 97232-2131
Mailing Address700 Ne Multnomah St, Suite 275Portland, OR 97232-2131 · (503) 729-1380 · Fax (503) 841-6343
Phone(503) 729-1380
Fax(503) 841-6343
Sole ProprietorNo
Enumeration DateAugust 10, 2009
Last NPPES UpdateNovember 8, 2016
✔ NPI 1164654166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 200950088NP
700 NE MULTNOMAH ST, Portland, OR 97232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 Mackenzie Bennett Pmhnp 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 Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willamette Health & Wellness LLC
Same address
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

WILLAMETTE HEALTH & WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232
Multnomah County (503) 729-1380
MR. MICHAEL BRILL LPC
Psychologist (Counseling)
700 NE MULTNOMAH ST, STE 275
PORTLAND, OR 97232
Multnomah County (503) 729-1380
DR. SIDNEY J PRESCOTT M.D.
Obstetrics & Gynecology
700 NE MULTNOMAH ST, SUITE 1600
PORTLAND, OR 97232
Multnomah County (503) 249-5454
DR. JOHN G. BOZICH D.M.D.
Dentist (Oral and Maxillofacial Surgery)
700 NE MULTNOMAH ST, SUITE 840
PORTLAND, OR 97232
Multnomah County (503) 232-4488
ERIK SATHER
Marriage & Family Therapist
700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232
Multnomah County (503) 729-1380
TINA G LIPS LPC
Counselor (Professional)
700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232
Multnomah County (503) 729-1380
ENDODONTIC ASSOCIATES, P.C.
Dentist (Endodontics)
700 NE MULTNOMAH ST, #880
PORTLAND, OR 97232
Multnomah County (503) 230-1234
DR. PAUL M MADDEN D.M.D.
Dentist (Endodontics)
700 NE MULTNOMAH ST, SUITE #880
PORTLAND, OR 97232
Multnomah County (503) 230-1234

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 Bennett's NPI number?

The NPI number for Nicole Bennett is 1164654166. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Nicole Bennett located?

Nicole Bennett practices at 700 NE Multnomah St Suite 275, Portland, OR 97232. The listed phone number is (503) 729-1380.

What is Nicole Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Bennett enrolled in Medicare?

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

Which organization bills Medicare for Nicole Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bennett 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 Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bennett accept?

Health plans from Moda Health Plan, Inc. list Nicole Bennett 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 Bennett was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.