NICOLE NEVAN RN
NPI 1295079879
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since November 20, 2012PECOS EnrolledAccepts Medicare Assignment
2645 PORTLAND RD NE STE 120, SALEM, OR 97301(503) 390-5637 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Sep 10, 2024, Sep 10, 2019 (3 updates tracked since 2019).

About Nicole Nevan Rn NPPES

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

NICOLE NEVAN RN (NPI 1295079879) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (10052921) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295079879
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE NEVANCredential: RN
Location Address2645 PORTLAND RD NE STE 120Salem, OR 97301-0200
Mailing Address2645 Portland Rd Ne Ste 120Salem, OR 97301-0200 · (503) 390-5637
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 20, 2012
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1295079879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10052921
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201906417RN (OR)
2645 PORTLAND RD NE STE 120, Salem, OR 97301

Accepted 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

Nicole Nevan Rn 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 ID2769956234
PECOS Enrollment IDI20260706003496
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 Nicole Nevan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
360 E 10TH AVE STE 450
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 53 clinicians in this Medicare group

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 97301 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Case Manager/Care Coordinator
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Peer Specialist
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Social Worker
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Social Worker
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Counselor (Mental Health)
2645 PORTLAND RD NE STE 120
SALEM, OR 97301

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 Nevan's NPI number?

The NPI number for Nicole Nevan is 1295079879. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Nicole Nevan located?

Nicole Nevan practices at 2645 Portland Rd NE Ste 120, Salem, OR 97301. The listed phone number is (503) 390-5637.

What is Nicole Nevan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Nevan enrolled in Medicare?

Yes. Nicole Nevan 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 Nicole Nevan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nevan reassigns Medicare benefits to Options Counseling Services Of Oregon (Eugene, 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 Nicole Nevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Nevan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicole Nevan 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 Nicole Nevan was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.