NICOLE KMICINSKI RD, CDN
NPI 1093193468
Dietitian, Registered in Buffalo, NY
About Nicole Kmicinski Rd, Cdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KMICINSKI RD, CDN (NPI 1093193468) is an individual dietitian, registered in Buffalo, New York, licensed in New York (824056) and active in the NPI registry since May 2015.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Kmicinski Rd, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Kmicinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo, NY 14209
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kmicinski's NPI number?
The NPI number for Nicole Kmicinski is 1093193468. It was assigned to this individual provider in the NPPES registry on May 18, 2015.
Where is Nicole Kmicinski located?
Nicole Kmicinski practices at 742 Delaware Ave, Buffalo, NY 14209. The listed phone number is (716) 431-5100.
What is Nicole Kmicinski's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Nicole Kmicinski enrolled in Medicare?
Yes. Nicole Kmicinski is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Kmicinski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kmicinski reassigns Medicare benefits to Western New York Integrated Care Collaborative, Inc. (Buffalo, NY). 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 Kmicinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Kmicinski was last updated on July 6, 2023. 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.
# Nicole Kmicinski, RD, CDN · NPI 1093193468
Dietitian, Registered provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since May 18, 2015.
## Identity
- **NPI:** 1093193468 (Entity type: Individual)
- **Enumerated:** May 18, 2015
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 824056 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 742 DELAWARE AVE, Buffalo, NY 14209-2202
- **Phone:** (716) 431-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Western New York Integrated Care Collaborative, Inc. (NPI 1881101954, Buffalo, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093193468) · Data from the CMS NPPES public registry.