Nichole D Adams, ARNP
Individual provider Active NPI Family Nurse Practitioner · Longview, WA
NPI 1639908486 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1639908486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61585475 (WA)
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-7800
- Fax
- (360) 414-7808
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth
Cascade Community Healthcare
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (360) 330-9044
Hospital & facility affiliations
- Peacehealth St John Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022004534 | WA | Practitioner - Nurse Practitioner | 0143753632 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61585475 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current |
Accepting new patients | |
| The Vancouver Clinic Inc PS | Current |
Accepting new patients | |
| Cascade Community Healthcare | Current |
Accepting new patients | |
| Cascade Community Healthcare | Current |
Accepting new patients | |
| The Vancouver Clinic Inc PS | Current |
Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
2428 W Reynolds Ave
Centralia, WA 98531
135 W Main St
Chehalis, WA 98532
Phone (360) 748-4339
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
501 SE 172nd Ave
Vancouver, WA 98684
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- nadams61306@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| High-Risk Obstetric Registered Nurse | 163WX0002X | RN60475489 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61585475 | WA | Yes |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7800
Other providers in Longview, WA
- Jordyn Abraham
- Cheryl Acker
- Acupuncture Northwest
- Adams Place LLC
- Jana Lee Adams
- Candice L Adkinson
- Advantage Chiropratic & Massage, P.S.
- Affordable Chiropractic, PLLC
- Tise Afuola
- Lindsey Ahearn
All providers in Longview, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.