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

Nichole Petterson, FNP

Individual provider Family Nurse Practitioner · NPI 1619386455

Nichole Petterson, FNP is a Nurse Practitioner in Redmond, Oregon. Qualified in 2014, 12 years ago. Practices with Mosaic Community Health, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Oregon.

Years since qualifying
12
Licensed in
CT, OR
In the registry since
2014
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

1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588
Phone: (541) 383-3005
Fax: (541) 383-1883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 Main Street, Middletown, CT 06457 — (860) 347-6971

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202009378NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5816 (CT)

Record details

NPI number1619386455
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 6, 2014
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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 Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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