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

Jennifer M Nickell, FNP

Individual provider Family Nurse Practitioner · NPI 1326645417

Jennifer M Nickell, FNP is a Nurse Practitioner in Salem, Oregon. Qualified in 2020, 6 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2485 12th St SE
Salem, OR 97302-2151
Phone: (503) 363-8047
Fax: (503) 363-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 861 W Main St, Molalla, OR 97038-9352 — (503) 874-5653

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202010122NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 200040937RN (OR)

Record details

NPI number1326645417
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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