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

Nicole Nevan, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1295079879

Nicole Nevan, RN is a Nurse Practitioner in Salem, Oregon. Qualified in 2025, 1 year ago. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2645 Portland Rd NE Ste 120
Salem, OR 97301-0200
Phone: (503) 390-5637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10052921 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 201906417RN (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1295079879
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 20, 2012
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address2645 Portland Rd Ne Ste 120, Salem, OR 97301-0200

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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