Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole L. Entenza, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477819860

Nicole L. Entenza, APRN, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Summerlin Mental Health LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Nevada and Oregon.

Years since qualifying
4
Licensed in
CA, NV, OR
In the registry since
2012
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

310 SW 4th Ave Ste 3-J
Portland, OR 97204-2345
Phone: (971) 306-9305
Fax: (971) 758-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 N Tenaya Way Ste 131, Las Vegas, NV 89128-0645 — (702) 608-6403

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10047025 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95024669 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 865565 (NV)

Record details

NPI number1477819860
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summerlin Mental Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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