Active NPI
Nicole Deboer, ARNP
- Family Nurse Practitioner
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61478766
- Practice address
- 2200 NE Neff Rd Ste 302
Bend, OR 97701-4279 - Phone
- (541) 706-6915
- Fax
- (541) 706-6733
- NPI assigned
- Feb 28, 2023
- Last updated
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61478766 | WA | Primary |
| Registered Nurse | 163W00000X | RN61095221 | WA |
Addresses
Primary practice location
2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Mailing address
12040 NE 128TH St
Kirkland, WA 98034-3013
Other practice location 1
12040 NE 128th St
Kirkland, WA 98034-3013
Phone (425) 899-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ndeboer231887@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12333 NE 130TH LN
Suite 400
Kirkland, WA 98034-7467
Phone (425) 899-6414
2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61095221 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894
12333 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 216-4220
Interoperability endpoints
- ndeboer231887@secure.stcharleshealthcare.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
dba EvergreenHealth Medical Group Pro Fees
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
dba EvergreenHealth Medical Center
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1861191702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD STE 302",
"city": "BEND",
"state": "OR",
"postal_code": "977014279",
"telephone_number": "541-706-6915",
"fax_number": "541-706-6733"
}
],
"practiceLocations": [
{
"address_1": "12040 NE 128th St",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343013",
"country_code": "US",
"telephone_number": "425-899-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBOER",
"first_name": "NICOLE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61478766",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61095221",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ndeboer231887@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2200 NE Neff Rd Ste 302",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.