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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE C TABBAL AGACNP
NPI 1992350854
Nurse Practitioner - Gerontology in Portland, OR

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
9427 SW BARNES RD STE 495, PORTLAND, OR 97225(503) 962-1000(503) 216-0950 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Jun 21, 2024, Nov 30, 2021 and 5 more (8 updates tracked since 2019).

About Nicole C Tabbal Agacnp NPPES

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

NICOLE C TABBAL AGACNP (NPI 1992350854) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (201906846NP-PP) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992350854
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE C TABBALCredential: AGACNP
Location Address9427 SW BARNES RD STE 495Portland, OR 97225-6612
Mailing Address9427 Sw Barnes Rd Ste 495Portland, OR 97225-6612 · (503) 962-1000
Phone(503) 962-1000
Fax(503) 216-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateJune 30, 20268 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1992350854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 201906846NP-PP
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 201906846NP-PP (OR)
9427 SW BARNES RD STE 495, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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 C Tabbal Agacnp 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 ID749611499
PECOS Enrollment IDI20200512003620
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services44 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop 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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
1 supplier14 claims165 services$21.16 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier14 claims14 services$593.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRANDON M JONES M.D.
Internal Medicine (Interventional Cardiology)
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 216-1661
ROBIN MILLER ACNP-BC, MSN
Nurse Practitioner (Acute Care)
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 216-1661
VIDANG P NGUYEN M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 216-1661
LOGAN LEIGH VINCENT M.D.
Internal Medicine (Interventional Cardiology)
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 962-1000
REBECCA M COMBS PA-C
Physician Assistant
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 962-1000
RACHEL KATHLEEN MOORE PA-C
Physician Assistant
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 962-1000
ALEXANDER M. MORSS MD
Internal Medicine (Cardiovascular Disease)
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 216-1661
TROY ALLEN DUNN PA-C
Physician Assistant
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Washington County (503) 962-1000

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 Tabbal's NPI number?

The NPI number for Nicole Tabbal is 1992350854. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Nicole Tabbal located?

Nicole Tabbal practices at 9427 SW Barnes Rd Ste 495, Portland, OR 97225. The listed phone number is (503) 962-1000.

What is Nicole Tabbal's specialty?

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

Is Nicole Tabbal enrolled in Medicare?

Yes. Nicole Tabbal 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 Tabbal accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicole Tabbal 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 Tabbal affiliated with any hospitals?

According to CMS data, Nicole Tabbal is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Tabbal was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.