NICOLE MARIE HALLEY ARNP
NPI 1720816267
Nurse Practitioner - Psychiatric/Mental Health in Lewiston, ID

Q: What is Nicole Halley's NPI number?

The NPI number for Nicole Halley is 1720816267. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Q: What is Nicole Halley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Halley was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 25, 2024PECOS EnrolledAccepts Medicare Assignment

1203 IDAHO ST, LEWISTON, ID 83501(208) 848-8300(208) 848-8303 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2025, Jan 9, 2025, Dec 6, 2024 and 2 more (5 updates tracked since 2024).

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About Nicole Marie Halley Arnp NPPES

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

NICOLE MARIE HALLEY ARNP (NPI 1720816267) is an individual psychiatric/mental health provider in Lewiston, Idaho, licensed in Idaho (3071948) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720816267

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE MARIE HALLEYCredential: ARNP

Location Address1203 IDAHO STLewiston, ID 83501-1940

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932

Phone(208) 848-8300

Fax(208) 848-8303

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 25, 2024

Last NPPES UpdateFebruary 20, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1720816267 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 ID · 3071948✔ Licensed in WA · AP61584944

1203 IDAHO ST, Lewiston, ID 83501

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Secondary Practice Location 1

Location 1104 W 5th AveSpokane, WA 99204-4820 · Phone (509) 992-1888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, PacificSource Health Plans and more.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 Marie Halley Arnp 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 ID8921549767

PECOS Enrollment IDI20241220003582

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

Medicare enrollment records show Nicole Halley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Association Of Spokane

Same address

Federally Qualified Health Center (FQHC)

1203 IDAHO ST
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
33 clinicians in this Medicare group

NPI 1235372707 (509) 444-8888

Spokane Behavioral Health LLC

87 mi

Psychiatric Hospital

104 W 5TH AVE
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
42 clinicians in this Medicare group

NPI 1932698107 (509) 992-1888

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 83501 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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.

VERONICA ROSE MUNDELL LCSW

Social Worker (Clinical)