Nicole L. Entenza, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10047025 Issued in OR

Practice address

310 SW 4TH Ave Ste 3-J
Portland, OR 97204-2345

Phone

(971) 306-9305

Fax

(971) 758-5726

NPI assigned

Apr 10, 2012

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summerlin Mental Health LLCGroup PAC ID 9739626193, 2 clinicians

Mindfulness Integrated Healthcare Odiwo PLLCGroup PAC ID 4587037718, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindfulness Integrated Healthcare Odiwo PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1144949199

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Summerland Mental Health LLC

  dba Summerland Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1336980937
  Medicare reassignment Care Compare group NPD
• Desert Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1144063629
  NPD Authorized official
• Silvercrest Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1750255451
  NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1477819860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY STE 110-403",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027905",
            "telephone_number": "702-553-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SW 4TH AVE STE 3-J",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042345",
            "telephone_number": "971-306-9305",
            "fax_number": "971-758-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Tenaya Way Ste 131",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280645",
            "country_code": "US",
            "telephone_number": "702-608-6403",
            "fax_number": "702-608-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTENZA",
        "first_name": "NICOLE",
        "middle_name": "L.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024669",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10047025",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "865565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carisa Ensign, LMT
• Christine Marie Ensign, FNP-BC, DNP
• Peggy Ensign, L.AC.
• Robert Taylor Ensign, M.A
• Shauna L Ensminger, MD
• Christina W. Enticknap, LPC
• Layla Entrikin
• Stephanie N Entrikin, RD, LD
• Katie Enyart, LMT
• Epic Imaging PC (Rayus Radiology)

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.