NICOLE SPREADBOROUGH
NPI 1376833012
Counselor - Professional in Bend, OR

Q: What is Nicole Spreadborough's NPI number?

The NPI number for Nicole Spreadborough is 1376833012. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Q: What is Nicole Spreadborough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Nicole Spreadborough enrolled in Medicare?

No. Nicole Spreadborough has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 14, 2011Opted out of Medicare · through Jan 1, 2028

2542 NE COURTNEY DR, BEND, OR 97701(541) 706-2768(541) 706-4760 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Spreadborough NPPES

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

NICOLE SPREADBOROUGH (NPI 1376833012) is an individual professional provider in Bend, Oregon, licensed in Oregon (C3071) and active in the NPI registry since April 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1376833012

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE SPREADBOROUGH

Location Address2542 NE COURTNEY DRBend, OR 97701-7685

Mailing AddressPo Box 5579Bend, OR 97708-5579 · (541) 706-2768 · Fax (541) 706-4760

Phone(541) 706-2768

Fax(541) 706-4760

Sole ProprietorNo

Enumeration DateApril 14, 2011

Last NPPES UpdateMarch 18, 2016

✔ NPI 1376833012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C3071

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2542 NE COURTNEY DR, Bend, OR 97701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Nicole Spreadborough has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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