Active NPI
Nicole M. Pashek, ARNP
- Adult Health Nurse Practitioner
- The Dalles, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 200850161NP
- Practice address
- 1825 E. 19TH St
The Dalles, OR 97058 - Phone
- (541) 506-6940
- Fax
- (541) 506-6937
- NPI assigned
- Jul 6, 2006
- Last updated
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30003817 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP30003817 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | 200850161NP | OR | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | AP30003817 | WA |
Addresses
Primary practice location
1825 E. 19TH St
The Dalles, OR 97058
Mailing address
1825 E. 19TH St
PO Box 1520
The Dalles, OR 97058-0000
Phone (541) 506-6940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155780 | Other | WA | L&I PIN |
| 218105 | Medicaid | OR | |
| U19448 | Other | WA | REGENCE BLUE SHIELD PIN |
| 9632506 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 E 12TH St
The Dalles, OR 97058-3213
Phone (541) 296-9151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200850161NP | OR | MD | Adult Health Nurse Practitioner |
| AP30003817 | WA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1825 E 19th St
The Dalles, OR 97058
Phone (541) 506-6440
1825 E 19th St
Ste 2
The Dalles, OR 97058
Phone (503) 296-1151
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- npashek38604@direct.ohsu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
dba Adventist Health Columbia Gorge
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1992094817
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bristol Hospice
- Community Based Hospice Care Agency
- Hood River, OR
- NPI 1942387154
-
dba Adventist Health Columbia Gorge
- Home Health Agency
- The Dalles, OR
- NPI 1205804101
-
dba Adventist Health Columbia Gorge
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
dba Providence Hospice
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1205924313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1043241144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 E. 19TH ST",
"address_2": "PO BOX 1520",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970580000",
"telephone_number": "541-506-6940",
"fax_number": "541-506-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E. 19TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-506-6940",
"fax_number": "541-506-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHEK",
"first_name": "NICOLE",
"middle_name": "M.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003817",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30003817",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "200850161NP",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP30003817",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PIN",
"identifier": "0155780",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218105",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "U19448",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9632506",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.