1. Home
  2. Directory
  3. Missouri
  4. Slater
  5. Dietitian Registered
  6. NPI Profile

NICOLE P BOMAR RD
NPI 1053920025
Dietitian, Registered in Slater, MO

Active since July 27, 2020

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2022, Jul 27, 2020 (2 updates tracked since 2020).

About Nicole P Bomar Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE P BOMAR RD (NPI 1053920025) is an individual dietitian, registered in Slater, Missouri, licensed in Missouri (2020020010) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1053920025
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE P BOMARCredential: RD
Location Address515 RICH STSlater, MO 65349-1251
Mailing Address515 Rich StSlater, MO 65349-1251 · (660) 631-3598
Phone(660) 631-3598
Sole ProprietorNo
Enumeration DateJuly 27, 2020
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1053920025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MO · 2020020010
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
515 RICH ST, Slater, MO 65349
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole P Bomar Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Bomar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Bite Nutrition Consulting
77 mi
Dietitian, Registered
193 WESTBROOK DR
Sunrise Beach, MO 65079
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
NPI 1396317806 (573) 836-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bomar's NPI number?

The NPI number for Nicole Bomar is 1053920025. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Nicole Bomar located?

Nicole Bomar practices at 515 Rich St, Slater, MO 65349. The listed phone number is (660) 631-3598.

What is Nicole Bomar's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nicole Bomar enrolled in Medicare?

Yes. Nicole Bomar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Bomar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bomar reassigns Medicare benefits to One Bite Nutrition Consulting (Sunrise Beach, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Bomar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bomar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Nicole Bomar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Bomar was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.