Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Nicole Fennell

Physician Assistant in Coos Bay, OR · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639626724

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Registry record

Entity type Individual (Type 1)

Name Nicole Fennell

Sex Female

Practice address 1775 Thompson Rd, Coos Bay, OR, 97420

Phone (541) 269-8111

Enumeration date Sep 6, 2016

Last updated in NPPES Sep 6, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA179333 (OR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Nicole Fennell's NPI record?

Cross-check NPI 1639626724 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639626724 active?

Yes, as of the latest NPPES snapshot, NPI 1639626724 is active (record last updated 2016-09-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-06.