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

Q: 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.

Q: 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.

Q: 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 5 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.

Active since November 20, 2012PECOS Enrolled

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: August 09, 2026.

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

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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.

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

Phone(503) 390-5637

Sole ProprietorNo

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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Nevan Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ROSE WALKER

Counselor