Individual provider Active NPI

Nikkiel King, MSN FNP

  • Family Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1801337746
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201701614NP-PP Issued in OR
Practice address
515 NE Roberts Ave
Gresham, OR 97030-7307
Phone
(503) 477-2477
Fax
(423) 205-3302
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 201701614NP-PP OR Primary

Addresses

Primary practice location

515 NE Roberts Ave
Gresham, OR 97030-7307

Mailing address

515 NE Roberts Ave
Gresham, OR 97030-7307
Phone (503) 894-0493

Other practice location 1

1050 W Elm Ave Ste 140
Hermiston, OR 97838-2713
Phone (541) 667-3661

Other names 1

  • Nikkiel Lefebre Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426001235 OR Practitioner - Nurse Practitioner 0042597205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
201701614NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain and Spine Institute CurrentSince May 1, 2018 Accepting new patients
Gresham Women'S Health LLC CurrentSince Mar 3, 2024 Accepting new patients
Good Shepherd Health Care System CurrentSince Feb 17, 2025 Accepting new patients

Locations

515 NE Roberts Ave
Gresham, OR 97030
Phone (503) 477-2478

689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Interoperability endpoints

  • Direct secure messaging: nking1517485@direct.lhs.org

Organizations & group practices 3

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 1

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": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1801337746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE ROBERTS AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307307",
            "telephone_number": "503-894-0493",
            "fax_number": "423-205-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE ROBERTS AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307307",
            "telephone_number": "503-477-2477",
            "fax_number": "423-205-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Elm Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978382713",
            "country_code": "US",
            "telephone_number": "541-667-3661",
            "fax_number": "541-275-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "NIKKIEL",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201701614NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKIEL",
            "last_name": "LEFEBRE",
            "credential": "NIKKIEL LEFEBRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.