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NICOLE ANN O'NEILL RDN
NPI 1376170183
Dietitian, Registered in Rockford, IL

Active since March 24, 2020
5666 E STATE ST, ROCKFORD, IL 61108(815) 227-2274 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Ann O'neill Rdn NPPES

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

NICOLE ANN O'NEILL RDN (NPI 1376170183) is an individual dietitian, registered in Rockford, Illinois, licensed in Illinois (164006560) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1376170183
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE ANN O'NEILLCredential: RDN
Location Address5666 E STATE STRockford, IL 61108-2425
Mailing Address4262 Hononegah RdRoscoe, IL 61073-6700 · (779) 770-5089
Phone(815) 227-2274
Sole ProprietorNo
Enumeration DateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
✔ NPI 1376170183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in IL · 164006560✔ Licensed in WI · 289629
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.
5666 E STATE ST, Rockford, IL 61108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann O'neill Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Saint Anthony Medical Center
0.2 mi
Surgical Oncology
5666 E STATE ST
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1235349036 (815) 226-2000

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 20

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

REGIONAL CARDIOLOGY CONSULTANTS LTD
Specialist
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
BALARAMA KRISHNA SURAPANENI
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
ANTHONY ENRICO
Nurse Anesthetist, Certified Registered
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
TYLER JAMES RAFFERTY FNP-BC
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
CHRISTOPHER VITTORE
Radiology (Diagnostic Radiology)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
ANGELA GIARDONO FNP
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
DR. LAURA CARROLL PT, DPT
Physical Therapist
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
RAJYALAXMI MULLAPUDI M.D.
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000

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 O'neill's NPI number?

The NPI number for Nicole O'neill is 1376170183. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Nicole O'neill located?

Nicole O'neill practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 227-2274.

What is Nicole O'neill's specialty?

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

Is Nicole O'neill enrolled in Medicare?

Yes. Nicole O'neill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole O'neill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole O'neill reassigns Medicare benefits to Saint Anthony Medical Center (Rockford, 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 Nicole O'neill'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 O'neill was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.