NICOLE BAKHOUM
NPI 1174151427
Student in an Organized Health Care Education/Training Program in Seattle, WA

NPI Status: Active since March 31, 2020

Contact Information

325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 744-2556

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  • Individual
  • Female
  • Years of Experience 6
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICOLE BAKHOUM

This page provides the complete NPI Profile along with additional information for Nicole Bakhoum, a primary care provider established in Seattle, Washington with a medical specialization in Student In An Organized Health Care Education/training Program and more than 6 years of experience. She graduated from Vanderbilt University School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1174151427 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1174151427
Provider Name
NICOLE BAKHOUM
Gender
Female
Entity Type
Individual
Location Address
325 9TH AVE SEATTLE, WA 98104
Location Phone
(206) 744-2556
Mailing Address
3000 VANDERBILT PL APT 345 NASHVILLE, TN 37212
Mailing Phone
(718) 689-2711
Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
03-31-2020
Last Update Date
03-31-2020
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A primary care provider (PCP) like Nicole Bakhoum sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicole Bakhoum is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicole Bakhoum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4789009317

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240717004195

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NICOLE BAKHOUM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174151427
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114425244
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 5 + 2 + 4 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174151427 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124027578DR. HEATHER RAE FERGUSON PHARMD
Individual
Pharmacist325 9TH AVE BOX 359885
SEATTLE, WA 98104
(206) 731-3220
1841283512 ELIZABETH BOROCK M.D.
Individual
Emergency Medicine325 9TH AVE
SEATTLE, WA 98104
(206) 420-8979
1215922638 SUZINNE PAK GORSTEIN MD PHD MPH
Individual
Pediatrics (Adolescent Medicine)325 9TH AVE BOX 359774
SEATTLE, WA 98104
(206) 744-9512
1013903780 MICHAEL R KELLY MD
Individual
Internal Medicine (Nephrology)325 9TH AVE
SEATTLE, WA 98104
(206) 744-5939
1730176058MR. STEVEN M RIDDLE RPH
Individual
Pharmacist (Pharmacotherapy)325 9TH AVE HMC PHARMACY MAILSTOP 359912
SEATTLE, WA 98104
(206) 731-3000
1265421945DR. JENNIE MAO M.D.
Individual
Obstetrics & Gynecology325 9TH AVE
SEATTLE, WA 98104
(206) 731-6291
1083604078 NAM TRAN M.D.
Individual
Surgery (Vascular Surgery)325 9TH AVE DIVISION OF VASCULAR SURGERY
SEATTLE, WA 98104
(206) 731-8041
1306837232DR. JANE CAROL BALLANTYNE MD
Individual
Anesthesiology (Pain Medicine)325 9TH AVE
SEATTLE, WA 98104
(206) 520-5358
1114901972MRS. LILLIAN JANE SJONG ARNP MN
Individual
Nurse Practitioner325 9TH AVE
SEATTLE, WA 98104
(206) 744-9378
1649256090MR. STEPHEN SUI R.PH., B.SC.(PHARM)
Individual
Pharmacist325 9TH AVE
SEATTLE, WA 98104
(206) 731-7967
1902884430DR. JEFFREY D. ROBINSON MD
Individual
Radiology (Diagnostic Radiology)325 9TH AVE
SEATTLE, WA 98104
(206) 731-3000
1104896950 IVY LIM PHARM.D.
Individual
Pharmacist325 9TH AVE
SEATTLE, WA 98104
(206) 731-5151
1487628434 HEEMUN KWOK M.D.
Individual
Emergency Medicine325 9TH AVE
SEATTLE, WA 98104
(206) 744-9888
1437125333 CYNTHIA BRENNAN PHARMD, MHA
Individual
Pharmacist325 9TH AVE
SEATTLE, WA 98104
(206) 731-3181
1528035755DR. BRADLEY WILLIAM KOSEL PHARMD
Individual
Pharmacist325 9TH AVE BOX #359930
SEATTLE, WA 98104
(206) 731-5151
1164491247DR. KATIE VU LAI PHARM.D.
Individual
Pharmacist (Pharmacotherapy)325 9TH AVE
SEATTLE, WA 98104
(206) 731-5946
1942269535 GRETA M SWENEY
Individual
Pharmacist325 9TH AVE
SEATTLE, WA 98104
(206) 989-5332
1508826710 JOHANNE ST LAURENT LEWIN ARNP
Individual
Nurse Practitioner (Family)325 9TH AVE
SEATTLE, WA 98104
(206) 744-3000
1649231416MR. DAVID M HOLT ARNP
Individual
Nurse Practitioner (Family)325 9TH AVE
SEATTLE, WA 98104
(206) 731-4115
1891758827DR. TIFFANY NICOLE ERICKSON PHARMD, BCPS
Individual
Pharmacist (Pharmacotherapy)325 9TH AVE BOX 359912
SEATTLE, WA 98104
(206) 731-8120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174151427, enumerated in the NPI registry as an "individual" on March 31, 2020

The provider is located at 325 9th Ave Seattle, Wa 98104 and the phone number is (206) 744-2556

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 6 years of experience. She graduated from Vanderbilt University School Of Medicine in 2020.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 31, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.