MS. PEGGY ELOISE NICHOLSON RN, NP-C
NPI 1235553801
Nurse Practitioner in Eugene, OR

Q: What is Peggy Nicholson's NPI number?

The NPI number for Peggy Nicholson is 1235553801. It was assigned to this individual provider in the NPPES registry on February 18, 2014. The provider is also known as Peggy Eloise Grimes.

Q: What is Peggy Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Nicholson was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 18, 2014

1200 HILYARD ST STE 450, EUGENE, OR 97401(458) 205-7131(541) 687-6214 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2018, Dec 8, 2015 (2 updates tracked since 2015).

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About Ms. Peggy Eloise Nicholson Rn, Np-c NPPES

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

MS. PEGGY ELOISE NICHOLSON RN, NP-C (NPI 1235553801) is an individual nurse practitioner in Eugene, Oregon, licensed in Oregon (201804601NP-PP) and active in the NPI registry since February 2014. She maintains a secondary practice location in Jackpot.

NPPES Registry Identity

NPI1235553801

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. PEGGY ELOISE NICHOLSONCredential: RN, NP-C

Location Address1200 HILYARD ST STE 450Eugene, OR 97401-8164

Mailing Address1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004 · (360) 729-1253 · Fax (360) 729-3185

Phone(458) 205-7131

Fax(541) 687-6214

Sole ProprietorNo

Enumeration DateFebruary 18, 2014

Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration

✔ NPI 1235553801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 201804601NP-PP✔ Licensed in NV · APRN002061

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP-02348 (NM)

1200 HILYARD ST STE 450, Eugene, OR 97401

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Other Names 1

Former Name (1)Peggy Eloise Grimes

Secondary Practice Location 1

Location 1950 Lady Luck DriveJackpot, NV 89825-0628 · Phone (775) 755-2500 · Fax (775) 755-2502

Other Identifiers 1

Medicaid1235553801NV

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN ANN DESILETS

Peer Specialist