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NICOLETTE ILEANA BEMBENEK MD
NPI 1396093498
Family Medicine in Vancouver, WA

Active since August 21, 2012Opted out of Medicare · through Nov 29, 2027
700 NE 87TH AVE, VANCOUVER, WA 98664(360) 882-2778(360) 604-1693 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicolette Ileana Bembenek Md NPPES

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

NICOLETTE ILEANA BEMBENEK MD (NPI 1396093498) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD60489495) and active in the NPI registry since August 2012. She has opted out of Medicare through November 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396093498
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLETTE ILEANA BEMBENEKCredential: MD
Location Address700 NE 87TH AVEVancouver, WA 98664-1913
Mailing Address700 Ne 87th AveVancouver, WA 98664-1913 · (360) 882-2778 · Fax (360) 604-1693
Phone(360) 882-2778
Fax(360) 604-1693
Sole ProprietorNo
Enumeration DateAugust 21, 2012
Last NPPES UpdateJuly 28, 2015
✔ NPI 1396093498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60489495
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 NE 87TH AVE, Vancouver, WA 98664
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicolette Ileana Bembenek Md 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 November 29, 2021 through November 29, 2027.

Opt-Out Effective DateNovember 29, 2021
Opt-Out In Effect ThroughNovember 29, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

OREGON HEALTH & SCIENCE UNIVERSITY
Clinic/Center
700 NE 87TH AVE, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 882-2778
JEFF S BRENT M.D.
Emergency Medicine (Sports Medicine)
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
LOUISE M SCHULTZ DO
Internal Medicine
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
SUSAN ARNOLD-EDGAR PA-C
Physician Assistant
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 397-1500
WENDY LATTA PT
Physical Therapist
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 397-1240
ALLISON MEADE PNP
Nurse Practitioner (Pediatrics)
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
JOEL DAVID MCLARRY M.D.
Internal Medicine (Cardiovascular Disease)
700 NE 87TH AVE, SUITE 210
VANCOUVER, WA 98664
Clark County (360) 882-2778
KIRSTIE ANDERSON D.P.T.
Physical Therapist
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778

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 Nicolette Bembenek's NPI number?

The NPI number for Nicolette Bembenek is 1396093498. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Nicolette Bembenek located?

Nicolette Bembenek practices at 700 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (360) 882-2778.

What is Nicolette Bembenek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicolette Bembenek enrolled in Medicare?

No. Nicolette Bembenek has opted out of Medicare through November 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicolette Bembenek was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.