MRS. NICOLE DEGENNARO QMHA
NPI 1184397622
Case Manager/Care Coordinator in Corvallis, OR

Q: What is Nicole Degennaro's NPI number?

The NPI number for Nicole Degennaro is 1184397622. It was assigned to this individual provider in the NPPES registry on July 30, 2021. The provider is also known as Nicole Degennaro Qmha.

Q: What is Nicole Degennaro's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Degennaro was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since July 30, 2021

530 NW 27TH ST, CORVALLIS, OR 97330(541) 766-6835 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Jul 30, 2021 (2 updates tracked since 2021).

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About Mrs. Nicole Degennaro Qmha NPPES

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

MRS. NICOLE DEGENNARO QMHA (NPI 1184397622) is an individual case manager/care coordinator provider in Corvallis, Oregon, licensed in Oregon (21-QMHA-R-1327) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1184397622

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMRS. NICOLE DEGENNAROCredential: QMHA

Location Address530 NW 27TH STCorvallis, OR 97330-5298

Mailing AddressPo Box 579Corvallis, OR 97339-0579 · (541) 766-6835 · Fax (541) 766-6186

Phone(541) 766-6835

Sole ProprietorYes

Enumeration DateJuly 30, 2021

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1184397622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OR · 21-QMHA-R-1327

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

530 NW 27TH ST, Corvallis, OR 97330

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Other Names 1

Professional Name (2)Nicole Degennaro Qmha

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.

STEPHANIE D GUERENA

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