DR. NICOLE DIANE PALACIOS PRITCHARD DMD
NPI 1265179410
Dentist - General Practice in Pasadena, CA
About Dr. Nicole Diane Palacios Pritchard Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE DIANE PALACIOS PRITCHARD DMD (NPI 1265179410) is an individual general practice provider in Pasadena, California, licensed in California (DDS107013) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Norwalk.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 (PECOS)
Dr. Nicole Diane Palacios Pritchard Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Palacios Pritchard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90031
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 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 91103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, CA 91103
PASADENA, CA 91103
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 Palacios Pritchard's NPI number?
The NPI number for Nicole Palacios Pritchard is 1265179410. It was assigned to this individual provider in the NPPES registry on May 18, 2022.
Where is Nicole Palacios Pritchard located?
Nicole Palacios Pritchard practices at 1845 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (866) 733-5924.
What is Nicole Palacios Pritchard's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Nicole Palacios Pritchard enrolled in Medicare?
Yes. Nicole Palacios Pritchard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Palacios Pritchard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Palacios Pritchard reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). 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 Palacios Pritchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Palacios Pritchard accept?
Health plans from Humana list Nicole Palacios Pritchard 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 Palacios Pritchard was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Nicole Diane Palacios Pritchard, DMD · NPI 1265179410
General Practice provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since May 18, 2022.
## Identity
- **NPI:** 1265179410 (Entity type: Individual)
- **Enumerated:** May 18, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DDS107013 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1845 N FAIR OAKS AVE, Pasadena, CA 91103-1620
- **Phone:** (866) 733-5924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** St. Johns Community Health (NPI 1932249505, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265179410) · Data from the CMS NPPES public registry.