MICCA LYNN DONOHOO R.D.
NPI 1093968273
Dietitian, Registered in Burlington, VT
About Micca Lynn Donohoo R.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICCA LYNN DONOHOO R.D. (NPI 1093968273) is an individual dietitian, registered in Burlington, Vermont, licensed in Illinois (164003788) and active in the NPI registry since October 2008. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Micca Lynn Donohoo R.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Micca Donohoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
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 Micca Donohoo's NPI number?
The NPI number for Micca Donohoo is 1093968273. It was assigned to this individual provider in the NPPES registry on October 31, 2008. The provider is also known as Micca Lynn Lemon.
Where is Micca Donohoo located?
Micca Donohoo practices at 822 S Prospect St, Burlington, VT 05401. The listed phone number is (802) 222-6907.
What is Micca Donohoo's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Micca Donohoo enrolled in Medicare?
Yes. Micca Donohoo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Micca Donohoo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micca Donohoo reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). 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 Micca Donohoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Micca Donohoo accept?
Health plans from Anthem Blue Cross and Blue Shield list Micca Donohoo 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 Micca Donohoo was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Micca Lynn Donohoo, R.D. · NPI 1093968273
Dietitian, Registered provider in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since October 31, 2008.
## Identity
- **NPI:** 1093968273 (Entity type: Individual)
- **Enumerated:** October 31, 2008
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 164003788 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 822 S PROSPECT ST, Burlington, VT 05401-3513
- **Phone:** (802) 222-6907
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Springfield Clinic, LLP (NPI 1780638478, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093968273) · Data from the CMS NPPES public registry.