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NICOLE MARIE KEITH MA
NPI 1528598109
Counselor - Professional in Bend, OR

Active since June 15, 2017PECOS Enrolled
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 1, 2018, Jun 15, 2017 (2 updates tracked since 2017).

About Nicole Marie Keith Ma NPPES

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

NICOLE MARIE KEITH MA (NPI 1528598109) is an individual professional provider in Bend, Oregon, licensed in Oregon (C7715) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1528598109
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE MARIE KEITHCredential: MA
Location Address2577 NE COURTNEY DRBend, OR 97701-7752
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1528598109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7715
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License R5203 (OR)
2577 NE COURTNEY DR, Bend, OR 97701
Open in Google Maps ↗

Secondary Practice Location 1

Location 111010 SE Division St Ste 202Portland, OR 97266-6400 · Phone (503) 335-5975

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Keith Ma 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Keith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deschutes County Oregon
Same address
Public Health, State or Local
2577 NE COURTNEY DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 120 clinicians in this Medicare group
NPI 1023056017 (541) 322-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOANNE WHITE
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
MRS. MARINA ASHLEY KENT RN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7480
KATHLEEN ELIZABETH CHRISTENSEN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
DESCHUTES COUNTY OREGON
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
TONI BERUBE
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7678
EMMA SUSANN ANDERSON LCSW
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TRENT MORRELL
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TAYLOR ELIZABETH SEXTON
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500

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 Keith's NPI number?

The NPI number for Nicole Keith is 1528598109. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Nicole Keith located?

Nicole Keith practices at 2577 NE Courtney Dr, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Nicole Keith's specialty?

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

Is Nicole Keith enrolled in Medicare?

Yes. Nicole Keith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Keith reassigns Medicare benefits to Deschutes County Oregon (Bend, 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 Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Keith accept?

Health plans from Moda Health Plan, Inc. list Nicole Keith 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 Keith was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.