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NICOLE L. ENTENZA APRN, PMHNP-BC
NPI 1477819860
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
310 SW 4TH AVE STE 3-J, PORTLAND, OR 97204(971) 306-9305(971) 758-5726 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2026, Apr 26, 2026, Mar 27, 2026 and 15 more (18 updates tracked since 2023).

About Nicole L. Entenza Aprn, Pmhnp-bc NPPES

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

NICOLE L. ENTENZA APRN, PMHNP-BC (NPI 1477819860) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10047025) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477819860
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE L. ENTENZACredential: APRN, PMHNP-BC
Location Address310 SW 4TH AVE STE 3-JPortland, OR 97204-2345
Mailing Address35 E Horizon Ridge Pkwy Ste 110-403Henderson, NV 89002-7905 · (702) 553-4105
Phone(971) 306-9305
Fax(971) 758-5726
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2012
Last NPPES UpdateJuly 1, 202618 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1477819860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10047025✔ Licensed in CA · 95024669✔ Licensed in NV · 865565
310 SW 4TH AVE STE 3-J, Portland, OR 97204
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 N Tenaya Way Ste 131Las Vegas, NV 89128-0645 · Phone (702) 608-6403 · Fax (702) 608-9046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole L. Entenza Aprn, Pmhnp-bc 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 ID6507399854
PECOS Enrollment IDI20241025000918
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 97204 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Entenza's NPI number?

The NPI number for Nicole Entenza is 1477819860. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Nicole Entenza located?

Nicole Entenza practices at 310 SW 4th Ave Ste 3-J, Portland, OR 97204. The listed phone number is (971) 306-9305.

What is Nicole Entenza's specialty?

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

Is Nicole Entenza enrolled in Medicare?

Yes. Nicole Entenza 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.

What insurance does Nicole Entenza accept?

Health plans from Providence Health Plan list Nicole Entenza 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 Entenza was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.