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NICOLE D'ULISSE RD
NPI 1144998667
Dietitian, Registered in Wyomissing, PA

Active since August 31, 2021
86.13/100
CMS Quality Rating
1220 BROADCASTING RD STE 101, WYOMISSING, PA 19610(484) 628-5673 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole D'ulisse Rd NPPES

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

NICOLE D'ULISSE RD (NPI 1144998667) is an individual dietitian, registered in Wyomissing, Pennsylvania, licensed in Pennsylvania (DN007510) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1144998667
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE D'ULISSECredential: RD
Location Address1220 BROADCASTING RD STE 101Wyomissing, PA 19610-3221
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 824-8157
Phone(484) 628-5673
Sole ProprietorNo
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1144998667 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 PA · DN007510
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.
1220 BROADCASTING RD STE 101, Wyomissing, PA 19610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 D'ulisse Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole D'ulisse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reading Hospital
Same address
Family Medicine
1220 BROADCASTING RD STE 100
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1285355420 (484) 628-5673
Tower Health Medical Group
Same address
Surgery
1220 BROADCASTING RD STE 100
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1194892471 (484) 628-5673
Phoenixville Clinic Company LLC
25 mi
Vascular Surgery
420 W LINFIELD TRAPPE RD, STE 1100
Limerick, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
NPI 1790746345 (610) 495-2550

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN CLARK RD
Dietitian, Registered
1220 BROADCASTING RD STE 101
WYOMISSING, PA 19610
Berks County (610) 371-8623
READING HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1220 BROADCASTING RD STE 101
WYOMISSING, PA 19610
Berks County (484) 628-9962
KARRIE STUTZMAN
Dietitian, Registered
1220 BROADCASTING RD STE 101
WYOMISSING, PA 19610
Berks County (484) 628-5673
READING HOSPITAL
Dietitian, Registered
1220 BROADCASTING RD STE 101
WYOMISSING, PA 19610
Berks County (484) 628-5673

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 D'ulisse's NPI number?

The NPI number for Nicole D'ulisse is 1144998667. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Nicole D'ulisse located?

Nicole D'ulisse practices at 1220 Broadcasting Rd Ste 101, Wyomissing, PA 19610. The listed phone number is (484) 628-5673.

What is Nicole D'ulisse's specialty?

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

Is Nicole D'ulisse enrolled in Medicare?

Yes. Nicole D'ulisse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole D'ulisse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole D'ulisse reassigns Medicare benefits to 3 organizations: Reading Hospital (Wyomissing, PA), Tower Health Medical Group (Wyomissing, PA) and Phoenixville Clinic Company LLC (Limerick, PA). Each 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 D'ulisse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole D'ulisse accept?

Health plans from Blue Cross and Blue Shield of Texas list Nicole D'ulisse 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 D'ulisse was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.