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

Nicole Boerema, AA

Individual provider Anesthesiologist Assistant · NPI 1194296061

Nicole Boerema, AA is an Anesthesiology Assistant in Portland, Oregon. Graduated from University of Colorado School of Medicine, Denver in 2018, 8 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
University of Colorado School of Medicine, Denver
Licensed in
WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

707 SW Washington St Ste 700
Portland, OR 97205-3523
Phone: (503) 299-9906
Fax: (503) 225-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-5251

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA70081093 (WA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1194296061
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2018 (8 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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