NICOLE MARIE ORTIZ RD
NPI 1215809603
Dietitian, Registered in Fort Worth, TX

Q: What is Nicole Ortiz's NPI number?

The NPI number for Nicole Ortiz is 1215809603. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Nicole Ortiz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Ortiz was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 23, 2025Accepts Medicare Assignment

101 SUMMIT AVE STE 907, FORT WORTH, TX 76102(817) 438-8044(833) 290-5413 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Nicole Marie Ortiz Rd NPPES

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

NICOLE MARIE ORTIZ RD (NPI 1215809603) is an individual dietitian, registered in Fort Worth, Texas, licensed in Texas (DT92497) and active in the NPI registry since September 2025. She maintains a secondary practice location in Southlake and is a graduate of University Of Texas Southwestern Medical School At Dallas (2025).

NPPES Registry Identity

NPI1215809603

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameNICOLE MARIE ORTIZCredential: RD

Location Address101 SUMMIT AVE STE 907Fort Worth, TX 76102-2613

Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · (469) 372-2022 · Fax (833) 290-5413

Phone(817) 438-8044

Fax(833) 290-5413

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2025

Enumeration DateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1215809603 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 TX · DT92497

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.

101 SUMMIT AVE STE 907, Fort Worth, TX 76102

Open in Google Maps ↗

Secondary Practice Location 1

Location 1771 E Southlake Blvd Ste 106&107Southlake, TX 76092-6341 · Phone (469) 372-2022 · Fax (833) 290-5413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Nicole Marie Ortiz Rd 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.

PECOS PAC ID2163909581

PECOS Enrollment IDI20260115004296

Medicare Billing Reassignment

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

Doherty Nutrition LLC

34 mi

Dietitian, Registered

17060 DALLAS PKWY STE 112
Dallas, TX 75248

Reassigned Medicare billing, Texas enrollment
18 clinicians in this Medicare group

NPI 1326502832 (469) 372-2022

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 76102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.47 – $171.07

Typical copayment $0.00 (range $14.11 – $42.76)

Most-billed visit code NA

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SCARLETT CHAIDEZ RD, LD

Dietitian, Registered

101 SUMMIT AVE STE 907
FORT WORTH, TX 76102

Tarrant County (817) 438-8044

KAITLIN MARIE WALKER RD

Dietitian, Registered

101 SUMMIT AVE STE 907
FORT WORTH, TX 76102

Tarrant County (817) 438-8044

DAYSY BUSTAMANTE RD

Dietitian, Registered

101 SUMMIT AVE STE 907
FORT WORTH, TX 76102

Tarrant County (469) 372-2022

ANGELA DIANE LENDZIOSZEK RD

Dietitian, Registered

101 SUMMIT AVE STE 907
FORT WORTH, TX 76102

Tarrant County (817) 438-8044

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 Ortiz's NPI number?

The NPI number for Nicole Ortiz is 1215809603. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Nicole Ortiz located?

Nicole Ortiz practices at 101 Summit Ave Ste 907, Fort Worth, TX 76102. The listed phone number is (817) 438-8044.

What is Nicole Ortiz's specialty?

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

Is Nicole Ortiz enrolled in Medicare?

Yes. Nicole Ortiz 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 Nicole Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ortiz reassigns Medicare benefits to Doherty Nutrition LLC (Dallas, TX). 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 Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Ortiz accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Nicole Ortiz 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 Ortiz was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.