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

Jaime A Nicacio, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1245314608

Jaime A Nicacio, MD is a Physical Medicine and Rehabilitation in Vancouver, Washington. Qualified in 1996, 30 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
30
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone: (360) 514-3142
Fax: (360) 514-6809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 N Curtis Rd, Boise, ID 83706-1445 — (208) 605-3000

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD00038624 (WA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence M-16759 (ID)

Record details

NPI number1245314608
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address200 Ne Mother Joseph Pl, Suite 100, Vancouver, WA 98664-3299

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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