Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Nicholson, NP

Individual provider Registered Nurse · NPI 1033516372

Jacob Nicholson, NP is a Nurse Practitioner in Salem, Oregon. Qualified in 2014, 12 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

890 Oak St SE
Salem, OR 97301-3905
Phone: (503) 814-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201408272NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 200842785RN (OR)

Record details

NPI number1033516372
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 2, 2014
Last updated in NPPESDecember 2, 2014
Mailing address890 Oak St Se, Salem, OR 97301-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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