Nicolle Christine Ioakem, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA215832 Issued in OR

Practice address

17020 Pilkington Rd
Lake Oswego, OR 97035-5352

Phone

(503) 908-1646

Fax

(503) 908-1648

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr N GYNGroup PAC ID 1759552862, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr N GYN

  • Obstetrics & Gynecology Physician
  • Lake Oswego, OR
  • NPI 1558654178
  Medicare reassignment Care Compare group
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1386962587

  OR

  Medicare reassignment NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376981092
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1477818730
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tolleson, AZ
  • NPI 1750728523
  NPD (past)
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1962580118
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1972929081
  NPD (past)
• Whispering Palms Medical Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1437675436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355352",
            "telephone_number": "503-908-1646",
            "fax_number": "503-908-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355352",
            "telephone_number": "503-908-1646",
            "fax_number": "503-908-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOAKEM",
        "first_name": "NICOLLE",
        "middle_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA215832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.

Verify at the official NPI Registry.