Nicole Nickell, OT
NPI 1760788384ActiveIndividual· Specialist· Boise, ID
Specialist (OT) in Boise, Idaho, licensed in ID, with an NPI issued in January 2011. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1760788384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | Yes |
| NPI issued | Jan 28, 2011 |
| Last updated in NPPES | Jan 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | OTL-1014 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (ID) |
|---|
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