NICOLE LEARNED M.D.
NPI 1407114606
Pediatrics in Larkspur, CA

Active since April 25, 2012PECOS Enrolled
5 BON AIR RD STE 105, LARKSPUR, CA 94939(415) 461-0440 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Learned M.d. NPPES

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

NICOLE LEARNED M.D. (NPI 1407114606) is an individual pediatrics provider in Larkspur, California, licensed in California (130347) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Novato.

NPPES Registry Identity

NPI1407114606
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE LEARNEDCredential: M.D.
Location Address5 BON AIR RD STE 105Larkspur, CA 94939-1137
Mailing Address5 Bon Air Rd Ste 105Larkspur, CA 94939-1137 · (415) 461-0440
Sole ProprietorYes
Enumeration DateApril 25, 2012
Last NPPES UpdateAugust 25, 2024
NPPES CertifiedAugust 25, 2024
✔ NPI 1407114606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 130347
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5 BON AIR RD STE 105, Larkspur, CA 94939

Secondary Practice Location 1

Location 1251 Vintage WayNovato, CA 94945-5004 · Phone (415) 892-0965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Learned M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Medical Oncology
995 POTRERO AVE, BLDG.80, RM 229
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 637 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 94939 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 8

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

Marriage & Family Therapist
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Counselor (Mental Health)
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Counselor (Professional)
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Nurse Practitioner (Adult Health)
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939

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 Learned's NPI number?

The NPI number for Nicole Learned is 1407114606. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Nicole Learned located?

Nicole Learned practices at 5 Bon Air Rd Ste 105, Larkspur, CA 94939. The listed phone number is (415) 461-0440.

What is Nicole Learned's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Learned enrolled in Medicare?

Yes. Nicole Learned is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Learned's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Learned reassigns Medicare benefits to University Of California Sfgh Medical Group (San Francisco, 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 Learned'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 Learned was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.