MS. NICKOLE TIASHEA SAULSBERRY FNP-C
NPI 1669998910
Nurse Practitioner - Family in Olympia, WA
About Ms. Nickole Tiashea Saulsberry Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICKOLE TIASHEA SAULSBERRY FNP-C (NPI 1669998910) is an individual family provider in Olympia, Washington, licensed in Washington (AP61685323) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ms. Nickole Tiashea Saulsberry Fnp-c 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 Reassignments
5Medicare enrollment records show Nickole Saulsberry reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
Crownpoint, NM 87313
- Reassigned Medicare billing, Texas enrollment
- 265 clinicians in this Medicare group
Fort Worth, TX 76102
- Reassigned Medicare billing, Texas enrollment
- 802 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Florida, Texas and Washington enrollments
- 168 clinicians in this Medicare group
Yulee, FL 32097
- Reassigned Medicare billing, Florida enrollment
- 573 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OLYMPIA, WA 98506
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 Nickole Saulsberry's NPI number?
The NPI number for Nickole Saulsberry is 1669998910. It was assigned to this individual provider in the NPPES registry on August 18, 2017.
Where is Nickole Saulsberry located?
Nickole Saulsberry practices at 205 Lilly Rd NE Bldg B ,ste A, Olympia, WA 98506. The listed phone number is (360) 218-5990.
What is Nickole Saulsberry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nickole Saulsberry enrolled in Medicare?
Yes. Nickole Saulsberry 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 Nickole Saulsberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickole Saulsberry reassigns Medicare benefits to 5 organizations: Advanced Pain Care Ps (Olympia, WA), Dhhs Phs Naihs Crownpoint Hospital (Crownpoint, NM), Vpa Of Texas PLLC (Fort Worth, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and University Of Florida Jacksonville Physicians Inc (Yulee, FL). 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 Nickole Saulsberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nickole Saulsberry accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nickole Saulsberry 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 Nickole Saulsberry was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Nickole Tiashea Saulsberry, FNP-C · NPI 1669998910
Family physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since August 18, 2017.
## Identity
- **NPI:** 1669998910 (Entity type: Individual)
- **Enumerated:** August 18, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61685323 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 205 LILLY RD NE, BLDG B ,STE A, Olympia, WA 98506-5069
- **Phone:** (360) 218-5990 · **Fax:** (866) 308-9873
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Advanced Pain Care Ps (NPI 1114410495, Olympia, WA); Dhhs Phs Naihs Crownpoint Hospital (NPI 1114960093, Crownpoint, NM); Vpa Of Texas PLLC (NPI 1205165875, Fort Worth, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); University Of Florida Jacksonville Physicians Inc (NPI 1740836048, Yulee, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669998910) · Data from the CMS NPPES public registry.