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

Nicole Hainley, AGACNP, FNP

Individual provider Nurse Practitioner · NPI 1609172006

Nicole Hainley, AGACNP, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
16
Licensed in
NY, OR
In the registry since
2011
Specialties on file
6
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

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9155 Sw Barnes Rd, Portland, OR 97225-6625 — (503) 297-6334

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201150145NP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 201150145NP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 201150145NP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 201809639NP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201150145NP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 336624 (NY)

Record details

NPI number1609172006
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP , FNP
Sole proprietorNo
NPI enumeratedFebruary 2, 2011
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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