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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLLE ASENCIO
NPI 1225753692
Nurse Practitioner - Family in Portland, OR

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-8573(503) 494-3457 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Nov 15, 2024, Oct 7, 2022 (3 updates tracked since 2022).

About Nicolle Asencio NPPES

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

NICOLLE ASENCIO (NPI 1225753692) is an individual family provider in Portland, Oregon, licensed in Oregon (10031838) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225753692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLLE ASENCIO
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 494-8573 · Fax (503) 494-3457
Phone(503) 494-8573
Fax(503) 494-3457
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 7, 2022
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1225753692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10031838
3303 S BOND AVE, Portland, OR 97239
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 and accepts Medicare assignment

Nicolle Asencio 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 ID8921521246
PECOS Enrollment IDI20250327001995
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 Nicolle Asencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Wallace Medical Concern
9.8 mi
Federally Qualified Health Center (FQHC)
18633 SE STARK ST STE 401
Portland, OR 97233
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
NPI 1841592110 (503) 489-1760

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 97239 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.

CHERYL STOMBERG FNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-6594
KIT MIRANDA
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-5947
MRS. LINDSAY EVELYN WYANT PAC
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8510
MS. STEFANIE ANN BROWN L.C.S.W.
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1775
DR. MELISSA DANIELLE ADAIR ARNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
EMMA MARIANE JONES
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8573
SUSHILA ANN TOULMIN
Dermatology
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
DR. MEGHANA HALKAR MD
Hospitalist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1100

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 Nicolle Asencio's NPI number?

The NPI number for Nicolle Asencio is 1225753692. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Nicolle Asencio located?

Nicolle Asencio practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-8573.

What is Nicolle Asencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicolle Asencio enrolled in Medicare?

Yes. Nicolle Asencio 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.

Which organization bills Medicare for Nicolle Asencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolle Asencio reassigns Medicare benefits to The Wallace Medical Concern (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 Nicolle Asencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolle Asencio accept?

Health plans from Moda Health Plan, Inc. list Nicolle Asencio 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 Nicolle Asencio was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.