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

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment
19500 SE STARK ST, PORTLAND, OR 97233(800) 813-2000 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Oct 7, 2022 (2 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, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225753692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLLE ASENCIO
Location Address19500 SE STARK STPortland, OR 97233-5757
Mailing Address8703 N Chase AvePortland, OR 97217 · (503) 975-6187
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 7, 2022
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
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
19500 SE STARK ST, Portland, OR 97233

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 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.

Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Nurse Practitioner (Family)
19500 SE STARK ST, PORTLAND
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
19500 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Psychologist (Clinical)
19500 SE STARK ST
PORTLAND, OR 97233
Advanced Practice Midwife
19500 SE STARK ST
PORTLAND, OR 97233
Internal Medicine
19500 SE STARK ST
PORTLAND, OR 97233
Social Worker
19500 SE STARK ST
PORTLAND, OR 97233

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 19500 SE Stark St, Portland, OR 97233. The listed phone number is (800) 813-2000.

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.

What insurance does Nicolle Asencio accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon 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.

Is Nicolle Asencio affiliated with any hospitals?

According to CMS data, Nicolle Asencio is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Nicolle Asencio was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.