MS. NICOLE KATHLEEN JOHNSON DNP, APRN, CRNA
NPI 1447061601
Nurse Anesthetist, Certified Registered in Portland, OR
About Ms. Nicole Kathleen Johnson Dnp, Aprn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICOLE KATHLEEN JOHNSON DNP, APRN, CRNA (NPI 1447061601) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (10034882) and active in the NPI registry since January 2025. She is affiliated with Providence Portland Medical Center and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Nicole Kathleen Johnson Dnp, Aprn, Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician 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.
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.
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 Johnson's NPI number?
The NPI number for Nicole Johnson is 1447061601. It was assigned to this individual provider in the NPPES registry on January 16, 2025.
Where is Nicole Johnson located?
Nicole Johnson practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.
What is Nicole Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nicole Johnson enrolled in Medicare?
Yes. Nicole Johnson 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 Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Johnson reassigns Medicare benefits to Hospitalist Medicine Physicians Of Washington - Tcs (Portland, 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 Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Johnson affiliated with any hospitals?
According to CMS data, Nicole Johnson is affiliated with Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Johnson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Ms. Nicole Kathleen Johnson, DNP, APRN, CRNA · NPI 1447061601
Nurse Anesthetist, Certified Registered physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 16, 2025.
## Identity
- **NPI:** 1447061601 (Entity type: Individual)
- **Enumerated:** January 16, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 10034882 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4805 NE GLISAN ST, Portland, OR 97213-2933
- **Phone:** (503) 215-1111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Hospitalist Medicine Physicians Of Washington - Tcs (NPI 1649816380, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447061601) · Data from the CMS NPPES public registry.