1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Obstetrics Gynecology
  6. NPI Profile

NICOLE JENE FENNIMORE MD
NPI 1922569748
Obstetrics & Gynecology in Portland, OR

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
84.64/100
CMS Quality Rating
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216(503) 261-4423(503) 261-4424 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Jene Fennimore Md NPPES

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

NICOLE JENE FENNIMORE MD (NPI 1922569748) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD205498) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1922569748
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE JENE FENNIMORECredential: MD
Location Address10101 SE MAIN ST STE 3001Portland, OR 97216-2458
Mailing Address10101 Se Main St Ste 3001Portland, OR 97216-2458 · (503) 261-4423
Phone(503) 261-4423
Fax(503) 261-4424
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1922569748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · MD205498
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10101 SE MAIN ST STE 3001, Portland, OR 97216
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Jene Fennimore Md 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 ID2264769207
PECOS Enrollment IDI20250916003127
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.

Hospital Affiliations CMS Care Compare 2

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

84.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability100
Improvement Activities40
Cost62.46

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL L GUTFREUND MD
Obstetrics & Gynecology
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
MR. MICHAEL ALLEN BLANKENSHIP A.P.R.N., P.M.H.N.P.
Nurse Practitioner
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-5953
LAURA POWERS LCSW
Social Worker (Clinical)
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
IRENA CABRERA MD
Obstetrics & Gynecology
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
GINA TERESA CARDONA CNM
Advanced Practice Midwife
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
HANNAH MAE FERRERI LCSW
Social Worker (Clinical)
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
ERIN R WINN OLIVA LCSW
Social Worker (Clinical)
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423
ASHLEY BOOTH ULMER MSN, CNM, ARNP
Advanced Practice Midwife
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216
Multnomah County (503) 261-4423

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 Fennimore's NPI number?

The NPI number for Nicole Fennimore is 1922569748. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Nicole Fennimore located?

Nicole Fennimore practices at 10101 SE Main St Ste 3001, Portland, OR 97216. The listed phone number is (503) 261-4423.

What is Nicole Fennimore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Fennimore enrolled in Medicare?

Yes. Nicole Fennimore 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 Fennimore accept?

Health plans from Moda Health Plan, Inc. list Nicole Fennimore 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 Fennimore affiliated with any hospitals?

According to CMS data, Nicole Fennimore is affiliated with Hshs St Elizabeth's Hospital and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Nicole Fennimore was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.