MS. NICOLE N RANSBOTTOM AGACNP
NPI 1255065330
Nurse Practitioner - Acute Care in Portland, OR

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Ms. Nicole N Ransbottom Agacnp NPPES

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

MS. NICOLE N RANSBOTTOM AGACNP (NPI 1255065330) is an individual acute care provider in Portland, Oregon, licensed in Oregon (202212418NP-PP) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1255065330
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. NICOLE N RANSBOTTOMCredential: AGACNP
Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2022
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
NPI 1255065330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OR · 202212418NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 202201786RN (OR)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 202212418NP-PP (OR)
4400 NE HALSEY ST STE 102, Portland, OR 97213

Secondary Practice Location 1

Location 11111 NE 99th Ave, Ste 201Portland, OR 97220-9428 · Phone (503) 962-1000

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

Ms. Nicole N Ransbottom Agacnp 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 ID7517333792
PECOS Enrollment IDI20221012002587
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
115 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381317
Location1000 Third StreetTillamook, OR 97141 · Tillamook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Nurse Practitioner (Adult Health)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213

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 Ransbottom's NPI number?

The NPI number for Nicole Ransbottom is 1255065330. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Nicole Ransbottom located?

Nicole Ransbottom practices at 4400 NE Halsey St Ste 102, Portland, OR 97213. The listed phone number is (503) 962-1000.

What is Nicole Ransbottom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Ransbottom enrolled in Medicare?

Yes. Nicole Ransbottom 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.

Is Nicole Ransbottom affiliated with any hospitals?

According to CMS data, Nicole Ransbottom is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital and Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Nicole Ransbottom was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.