Individual provider Active NPI

Yolanda Nebinsem Nkola, FNP-BC

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1750006151
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022062343 Issued in OR
Practice address
2030 NE 57TH Ave
Portland, OR 97213-3554
Phone
(248) 250-2048
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022062343 OR Primary

Addresses

Primary practice location

2030 NE 57TH Ave
Portland, OR 97213-3554

Mailing address

2030 NE 57TH Ave
Portland, OR 97213-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221123002814 OR Practitioner - Nurse Practitioner 4688042526 Reassigns benefits to 4 organizations
I20251105003030 OH Practitioner - Nurse Practitioner 4688042526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santibanez Pac Ohio IncGroup PAC ID 7416391545, 36 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians

Practice addresses (Care Compare)

1555 Brainard Rd
Lyndhurst, OH 44124-3098
Phone (440) 460-1000

2108 Lander Rd
Mayfield Heights, OH 44124-4152
Phone (855) 722-9700

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (330) 927-2060

75 Shore Dr
Saint Helens, OR 97051-1125
Phone (206) 823-1004

Hospital & facility affiliations

  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022062343ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daiya Healthcare PLLC CurrentSince Oct 20, 2022 Accepting new patients
Maxem Health Urgent Care Lake Oswego CurrentSince Oct 20, 2022 Accepting new patients
Altea Medical Oregon LLC CurrentSince Jan 20, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 12, 2025 Accepting new patients
Santibanez Pac Ohio Inc CurrentSince Jul 24, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

275 E Sunset Dr
Rittman, OH 44270
Phone (330) 927-2060

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1750006151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133554",
            "telephone_number": "248-250-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKOLA",
        "first_name": "YOLANDA",
        "middle_name": "NEBINSEM",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "2022062343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.