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NICOLE HAINLEY AGACNP, FNP
NPI 1609172006
Nurse Practitioner - Gerontology in Portland, OR

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment
99.99/100
CMS Quality Rating
9205 SW BARNES RD, PORTLAND, OR 97225(503) 215-2906 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2021, Feb 12, 2021, Oct 24, 2018 (3 updates tracked since 2018).

About Nicole Hainley Agacnp, Fnp NPPES

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

NICOLE HAINLEY AGACNP, FNP (NPI 1609172006) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (201150145NP) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1609172006
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE HAINLEYCredential: AGACNP, FNP
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 215-2906
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 2, 2011
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1609172006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 201150145NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 201150145NP (OR)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 201809639NP (OR), 201150145NP (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 336624 (NY), 201150145NP (OR)
9205 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Location 1

Location 19155 SW Barnes Rd, Suite 420Portland, OR 97225-6625 · Phone (503) 297-6334

Accepted Insurance

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

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

Nicole Hainley Agacnp, Fnp 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 ID7911153077
PECOS Enrollment IDI20120807000079
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 Reassignments

5

Medicare enrollment records show Nicole Hainley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Oregon
Same address
Primary Care
9205 SW BARNES RD, MT7878
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1053403394 (503) 216-4961
Providence Health & Services - Oregon
Same address
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000
Providence Health & Services - Oregon
7.9 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Tuality Medical Group LLC
10.0 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000
Providence Health & Services - Oregon
14 mi
Clinical Pathology
1500 DIVISION ST
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
NPI 1003368911 (503) 656-1631

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services66 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Promoting Interoperability100
Improvement Activities40
Cost100

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.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 Hainley's NPI number?

The NPI number for Nicole Hainley is 1609172006. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Nicole Hainley located?

Nicole Hainley practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 215-2906.

What is Nicole Hainley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Hainley enrolled in Medicare?

Yes. Nicole Hainley 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 organizations bill Medicare for Nicole Hainley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hainley reassigns Medicare benefits to 5 organizations: Providence Health & Services Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR) and Providence Health & Services - Oregon (Oregon City, OR). Each 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 Hainley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Hainley accept?

Health plans from PacificSource Health Plans list Nicole Hainley 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.

Is Nicole Hainley affiliated with any hospitals?

According to CMS data, Nicole Hainley is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Hainley was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.