NICOLE KRETZINGER
NPI 1114808540
Counselor - Professional in King Of Prussia, PA
About Nicole Kretzinger NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KRETZINGER (NPI 1114808540) is an individual professional provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (PC018586) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Kretzinger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Kretzinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 44 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
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 Kretzinger's NPI number?
The NPI number for Nicole Kretzinger is 1114808540. It was assigned to this individual provider in the NPPES registry on September 11, 2025.
Where is Nicole Kretzinger located?
Nicole Kretzinger practices at 210 Mall Blvd Ste 204, King Of Prussia, PA 19406. The listed phone number is (484) 808-5340.
What is Nicole Kretzinger's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicole Kretzinger enrolled in Medicare?
Yes. Nicole Kretzinger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Kretzinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kretzinger reassigns Medicare benefits to Mhmo, Inc. (Plymouth Meeting, PA). 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 Kretzinger'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 Kretzinger was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nicole Kretzinger · NPI 1114808540
Professional provider in King Of Prussia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 11, 2025.
## Identity
- **NPI:** 1114808540 (Entity type: Individual)
- **Enumerated:** September 11, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC018586 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 MALL BLVD STE 204, King Of Prussia, PA 19406-3260
- **Phone:** (484) 808-5340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mhmo, Inc. (NPI 1023067139, Plymouth Meeting, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114808540) · Data from the CMS NPPES public registry.